Organization
ASSOCIATED UNIVERSITY NEUROSURGEONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TERENCE TRACY MD (PRESIDENT ASSOCIATED UNIVERSITY NEU)
(309) 676-0766
Entity
Organization
Contact information
Practice address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605
(309) 676-0766
(309) 676-5920
Mailing address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605
(309) 676-0766
(309) 676-5920
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
IL
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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