Organization
ILLINOIS WOMEN'S HEALTH CENTER
Active
Organization
ILLINOIS WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY A MA M.D. (OWNER/SUPERVISING PHYSICIAN)
(309) 683-0200
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 114, PEORIA, IL 61614-5098
(309) 683-0200
(309) 683-0201
Mailing address
5401 N KNOXVILLE AVE, SUITE 114, PEORIA, IL 61614-5098
(309) 683-0200
(309) 683-0201
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
036083144
IL
207VG0400X
Gynecology Physician
Primary
209001128
IL
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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