Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Parent organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Other names
PMH Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Authorized official
MS. JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR)
(815) 876-2293
Entity
Organization
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
(815) 876-4455
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
(815) 876-4455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/01/2006
Last updated
03/06/2020
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