Organization · Type 2 NPI

St. Margaret's Health-Peru

Family Nurse Practitioner · Hennepin, IL

NPI number 1013288646 Active

Practice location

220 E High St
Hennepin, IL 61327-9424

Call (815) 925-7032 Map

Fax (815) 925-7463

Mailing address

1305 6th St
Peru, IL 61354-2759

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

NPI record

NPI: 1013288646
Entity type: Organization (Type 2)
Issued: Jan 12, 2012
Last updated: Jan 27, 2021
Status: Active
Subpart: Yes of St. Margaret's Health-Peru

Other names

<unavail>
Ivch Medical Group / Hennepin Medical Clinic · doing business as
Smh-Peru/hennepin Medical Clinic · doing business as

Authorized official

Dori Bonnell
Director of Physician Practices
(815) 780-3222

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013288646

St. Margaret's Health-Peru's National Provider Identifier is 1013288646, issued on Jan 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hennepin, IL. The record was last updated on Jan 27, 2021.