Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Organization
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Active
Other names
Perry Pain Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M DAVIS (BUSINESS OFFICE DIRECTOR)
(815) 876-4419
Entity
Organization
Contact information
Practice address
530 PARK AVE E FL 3, PRINCETON, IL 61356-3901
(815) 875-6001
(815) 875-3612
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-4419
(815) 876-4455
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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