Organization
ST. MARGARET'S HEALTH-PERU
Active
Parent organization
ST. MARGARET'S HEALTH-PERU
Other names
SMH-Peru/Peru Medical Clinic, IVCH MEDICAL GROUP / PERU MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARGARET'S HEALTH-PERU
Authorized official
DORI C BONNELL (DIRECTOR OF PHYSICIAN PRACTICES)
(815) 780-3222
Entity
Organization
Contact information
Practice address
920 WEST ST STE 117, PERU, IL 61354-2765
(815) 223-3500
(815) 223-1790
Mailing address
1305 6TH ST, PERU, IL 61354-2759
(815) 223-3500
(815) 223-1790
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05000342
BC/BS
—
Enumeration date
10/15/2007
Last updated
01/27/2021
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