Organization · Type 2 NPI
Mid Illini Surgical Associates SC
Surgery Physician · Peoria, IL
Practice location
900 Main St, Suite 530
Peoria, IL 61602-1074
Fax (309) 655-1678
Mailing address
900 Main Street, Suite 530
Peoria, IL 61602-1074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | None listed |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1093854002
Mid Illini Surgical Associates SC's National Provider Identifier is 1093854002, issued on Feb 6, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Peoria, IL. The record was last updated on Jul 21, 2022.