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Organization
INTERNAL MEDICINE GROUP OF PEORIA SC
Active
Organization
INTERNAL MEDICINE GROUP OF PEORIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W BAUER M.D. (PRESIDENT)
(309) 655-7888
Entity
Organization
Contact information
Practice address
200 E PENNSYLVANIA AVE, STE 105, PEORIA, IL 61603-3045
(309) 655-7888
Mailing address
200 E PENNSYLVANIA AVE, STE 105, PEORIA, IL 61603-3045
(309) 655-7888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
06/09/2005
Last updated
09/05/2007
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