NPI 1952997538

St. Margaret's Health-Peru

Organisation Pain Medicine Physician Peru, IL

Practice location

Address: 925 West St, Peru, IL 61354-2757
Phone: (815) 780-3817
Mailing address: 1305 6th St, Peru, IL 61354-2759

Authorised official

Name: Dori C Bonnell
Title: Director
Phone: (815) 780-3222

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Illinois →

Registry record

NPI: 1952997538
Entity type: Organization
NPI issued: 17 Dec 2020
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.