INTEGRAMED MEDICAL ILLINOIS LLC PEORIA, IL

Contact Information

INTEGRAMED MEDICAL ILLINOIS, LLC

5401 N KNOXVILLE AVE
SUITE 102
PEORIA, IL 61614-5098

Phone: 309-689-0411
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Reproductive Endocrinology	207VE0102X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for INTEGRAMED MEDICAL ILLINOIS LLC · (Female)

NPI #	`1396169280`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/12/2014
Last updated	02/24/2014 - About 12 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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