Provider First Line Business Practice Location Address:
6000 N ALLEN ROAD
Provider Second Line Business Practice Location Address:
MIDWEST ORTHOPAEDIC CENTER SC
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-691-1400
Provider Business Practice Location Address Fax Number:
309-689-7094
Provider Enumeration Date:
06/03/2011