Organization · Type 2 NPI

Julia Rackley Perry Memorial Hospital

Multi-Specialty Clinic/Center · Princeton, IL

NPI number 1407028780 Active

Practice location

530 Park Ave E Ste 306
Princeton, IL 61356-3903

Call (815) 876-3033 Map

Fax (815) 876-3003

Mailing address

530 Park Ave E
Princeton, IL 61356-3901

Other practice locations

530 Park Ave E Ste 202, Princeton, IL 61356-3902 · (815) 872-3034

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Allen Uyen Van, MDOrthopaedic Surgery Physician Princeton, IL NPI 1225145725
Michael H. Berkson, MDOrthopaedic Surgery Physician Princeton, IL NPI 1427057728

NPI record

NPI: 1407028780
Entity type: Organization (Type 2)
Issued: Mar 27, 2008
Last updated: Apr 21, 2020
Status: Active
Subpart: Yes of Julia Rackley Perry Memorial Hospital

Other names

<unavail>
Perry Memorial Orthopedic & Sports Medicine · doing business as
Perry Memorial Podiatry Clinic · doing business as

Authorized official

Jean Welte
Medical Staff Services Coordinator
(815) 876-2293

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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 1407028780

Julia Rackley Perry Memorial Hospital's National Provider Identifier is 1407028780, issued on Mar 27, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Princeton, IL. The record was last updated on Apr 21, 2020.