Provider First Line Business Practice Location Address:
925 WEST STREET
Provider Second Line Business Practice Location Address:
ILLINOIS VALLEY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
PERU
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61354-2799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-223-3300
Provider Business Practice Location Address Fax Number:
815-780-3781
Provider Enumeration Date:
10/25/2006