Organization
TEVERBAUGH CROLAND AND MUELLER OB/GYN AND ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL M PETTRY (OFFICE MANAGER)
(309) 621-4604
Entity
Organization
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 330, PEORIA, IL 61615-9541
(309) 692-2025
Mailing address
8600 N STATE ROUTE 91, SUITE 330, PEORIA, IL 61615-9541
(309) 692-2025
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209013293
IL
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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