Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Parent organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Other names
Perry Memorial Podiatry Clinic, Perry Memorial Orthopedic & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Authorized official
JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
(815) 876-2293
Entity
Organization
Contact information
Practice address
530 PARK AVE E STE 306, PRINCETON, IL 61356-3903
(815) 876-3033
(815) 876-3003
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407028780
—
IL
Enumeration date
03/27/2008
Last updated
04/21/2020
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