Organization
LYNNE M JALOVEC, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE M JALOVEC MD (PRESIDENT)
(309) 672-4174
Entity
Organization
Contact information
Practice address
900 MAIN ST, SUITE 310, PEORIA, IL 61602-1005
(309) 672-4174
(309) 672-4132
Mailing address
900 MAIN ST, SUITE 310, PEORIA, IL 61602-1005
(309) 672-4174
(309) 672-4132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042616753
IL
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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