Organization
JUNCTION MEDICAL SC
Active
Organization
JUNCTION MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MICHAEL JONGERIUS MD (PHYSICIAN OWNER)
(309) 692-5487
Entity
Organization
Contact information
Practice address
5016 N UNIVERSITY ST, PEORIA, IL 61614-4781
(309) 692-5487
Mailing address
447 E HIGH POINT DR, PEORIA, IL 61614-2213
(309) 692-5487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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