Organization
IROQUOIS MEMORIAL HOSPITAL
Active
Other names
IMH General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN GWALTNEY (CREDENTIALING SPECIALIST)
(815) 432-7966
Entity
Organization
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-7966
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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