Organization · Type 2 NPI
Greater Peoria Obstetrics & Gynecology Corp SC
Specialist · Peoria, IL
NPI number
1912129271
Active
Practice location
4930 N Executive Dr
Peoria, IL 61614-4894
Fax (309) 671-8749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 03658850 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
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About NPI 1912129271
Greater Peoria Obstetrics & Gynecology Corp SC's National Provider Identifier is 1912129271, issued on May 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, IL. The record was last updated on May 1, 2015.