Organization
INTEGRAMED MEDICAL ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATISH VAYUVEGULA M.D. (PRESIDEN AND SECRETARY)
(309) 689-0411
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 102, PEORIA, IL 61614-5098
(309) 689-0411
Mailing address
5401 N KNOXVILLE AVE, SUITE 102, PEORIA, IL 61614-5098
(309) 689-0411
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
IL
Other
Enumeration date
02/12/2014
Last updated
02/24/2014
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