Organization
FLEMING OBSTETRICAL & GYNECOLOGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KANDY LYNN POLLITT (BILLING SPECIALIST)
(309) 673-6791
Entity
Organization
Contact information
Practice address
900 MAIN ST, SUITE 360, PEORIA, IL 61602-5017
(309) 673-3743
Mailing address
900 MAIN STREET, SUITE 360, PEORIA, IL 61602-5017
(309) 673-3743
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232161
BLUECROSS BLUESHIELD
IL
Enumeration date
05/10/2007
Last updated
01/14/2008
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