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Organization

SACRED HEART CLINIC OF LASALLE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMELIA DORIS LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 335-4715
Entity
Organization

Contact information

Practice address
920 WEST ST STE 214, PERU, IL 61354-2769
(224) 587-0569
Mailing address
920 WEST ST STE 214, PERU, IL 61354-2769
(224) 587-0569

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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