Organization
TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES, S.C.
Active
Other names
Couri-Teverbaugh OB/GYN & Assoc S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A. TEVERBAUGH MD (PRESIDENT)
(309) 692-2025
Entity
Organization
Contact information
Practice address
8600 N. RT 91, #330, PEORIA, IL 61615
(309) 692-2025
(309) 692-2446
Mailing address
8600 N. RT 91, SUITE 330, PEORIA, IL 61615
(309) 692-2025
(309) 692-2446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036102227
IL
207V00000X
Obstetrics & Gynecology Physician
—
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232044
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/19/2006
Last updated
06/20/2011
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