Organization
CARDINAL MEDICAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A SHADLEY (ADMINISTRATOR)
(309) 693-8611
Entity
Organization
Contact information
Practice address
6339 N BIG HOLLOW RD, PEORIA, IL 61615-2907
(309) 693-3315
(309) 693-9385
Mailing address
6339 N BIG HOLLOW RD, PEORIA, IL 61615-2907
(309) 693-3315
(309) 693-9385
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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