Organization
ASSOCIATED SURGICAL GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVISH N PATEL M.D. (PRESIDENT)
(309) 691-4005
Entity
Organization
Contact information
Practice address
7303 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 691-4005
(309) 691-6144
Mailing address
7303 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 691-4005
(309) 691-6144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-000313
IL
Other
Enumeration date
08/22/2006
Last updated
10/02/2012
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