Organization
DESIRED MEDICAL SERVICES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA SMITH (BILLING MGR)
(855) 276-5212
Entity
Organization
Contact information
Practice address
7820 N UNIVERSITY ST STE 110, PEORIA, IL 61614-8301
(708) 394-3296
Mailing address
7820 N UNIVERSITY ST STE 110, PEORIA, IL 61614-8301
(708) 394-3296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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