Organization
MIDWEST UROLOGICAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HARMS (OFFICE MANAGER)
(309) 683-0680
Entity
Organization
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Mailing address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/20/2006
Last updated
11/15/2021
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