Organization · Type 2 NPI
Integramed Medical Illinois, LLC
Reproductive Endocrinology Physician · Peoria, IL
NPI number
1396169280
Active
Practice location
5401 N Knoxville Ave, Suite 102
Peoria, IL 61614-5098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reproductive Endocrinology Physician Primary | 207VE0102X | None listed |
Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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About NPI 1396169280
Integramed Medical Illinois, LLC's National Provider Identifier is 1396169280, issued on Feb 12, 2014. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Peoria, IL. The record was last updated on Feb 24, 2014.