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Organization

LINDSEY MA, MD, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LINDSEY MA MD (PRESIDENT)
(309) 683-0200
Entity
Organization

Contact information

Practice address
3300 W WILLOW KNOLLS DR, PEORIA, IL 61614-8121
(309) 683-0200
(309) 683-0201
Mailing address
3300 W WILLOW KNOLLS DR, PEORIA, IL 61614-8121
(309) 683-0200
(309) 683-0201

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
IL
207VX0000X
Obstetrics Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07232118
BCBS GROUP NUMBER
IL
Enumeration date
09/29/2006
Last updated
10/20/2022
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