St. Margaret's Health-Peru

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

Ivch Medical Group / Adult Medicine Clinic
SMH-Peru/Adult Medicine Clinic

Practice address

920 West St Ste 218
Peru, IL 61354-2769

Phone

(815) 780-3838

Fax

(815) 780-3836

NPI assigned

Mar 19, 2008

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. MARGARET'S HEALTH-PERUAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dori Bonnell

Title

Director of Physician Practices

Phone

(815) 780-3222

Specialties & licenses 1

Addresses

Other names 2

• IVCH MEDICAL GROUP / ADULT MEDICINE CLINIC Doing business as
• SMH-Peru/Adult Medicine Clinic Doing business as

Part of

St Margarets Health-Peru

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1063683977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 6TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542759",
            "telephone_number": "815-780-4619",
            "fax_number": "815-780-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST STE 218",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542769",
            "telephone_number": "815-780-3838",
            "fax_number": "815-780-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2008-03-19",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "BONNELL",
        "authorized_official_first_name": "DORI",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "815-780-3222"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH MEDICAL GROUP / ADULT MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Adult Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Spangler, FNP-C
• Patrick Springer, DNP, CRNA
• SSJ Care LLC Dba at Home Care Now (At Home Care)
• St Margaret's Health - Spring Valley
• St Margaret's Health-Spring Valley (SMH Midtown Health Ctr)
• St. Margaret's Health-Peru (IVCH Care Today)
• St. Margaret's Health-Peru
• St. Margaret's Health-Peru (IVCH Wound & Hyperbaric Center)
• St. Margaret's Health-Peru (Ivch Medical Group / Peru Medical Clinic)
• St. Margaret's Health-Peru (IVCH Medical Group / Infectious Disease Clinic)

• Medical Specialty Clinic/Center in Peru, IL
• Providers in Peru, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.