Organization
PEORIA SURGICAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROSSI M.D. (M.D./VICE PRESIDENT, MANAGING PART)
(309) 495-0200
Entity
Organization
Contact information
Practice address
1001 MAIN STREET, SUITE 300, PEORIA, IL 61606-2037
(309) 495-0200
(309) 676-6545
Mailing address
1001 MAIN STREET, SUITE 300, PEORIA, IL 61606-2037
(309) 495-0200
(309) 676-6545
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
08/07/2006
Last updated
11/10/2011
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