Organization
PEORIA AREA WOMEN'S HOSPITALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY A MA M.D. (MEDICAL DIRECTOR)
(309) 692-2805
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 692-5522
Mailing address
5401 N KNOXVILLE AVE, SUITE 109, PEORIA, IL 61614-5098
(309) 692-2805
(309) 692-1913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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