Organization
PEORIA HAND SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J ADAMSON X M.D. (PRESIDENT)
(309) 693-3970
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 107, PEORIA, IL 61614-5098
(309) 693-3970
(309) 693-3971
Mailing address
5401 N KNOXVILLE AVE, SUITE 107, PEORIA, IL 61614-5098
(309) 693-3970
(309) 693-3971
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036089935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36089935
—
IL
Enumeration date
01/26/2015
Last updated
04/29/2016
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