St. Margaret's Health-Peru

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

IVCH CampusCare
SMH-Peru Campus Care

Practice address

815 N Orlando Smith St
Oglesby, IL 61348-9692

Phone

(815) 224-0896

NPI assigned

Feb 1, 2012

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 CampusCare Doing business as
• SMH-Peru Campus Care Doing business as

Part of

Illinois Valley Community

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1114299583",
    "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": "815-223-3300",
            "fax_number": "815-780-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N ORLANDO SMITH ST",
            "city": "OGLESBY",
            "state": "IL",
            "postal_code": "613489692",
            "telephone_number": "815-224-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2012-02-01",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH CampusCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru Campus Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Allen Opsal Jr., D.C.
• John Charles Piano III, DC
• Kristine M Renn, DC
• Susan L Rick, LCPC
• Jennifer Lynn Sowers, CERTIFIED OPTICIAN
• St. Margaret's Health-Peru (IVCH Medical Group / Oglesby Medical Clinic)
• St. Margaret's Health-Peru (Ivch Medical Group / Oglesby Medical Clinic)
• St. Margaret's Health-Peru (Ivch Medical Group / Oglesby Medical Clinic)
• Manuel Antonio Valerin, DDS

• Primary Care Clinic/Center in Oglesby, IL
• Providers in Oglesby, IL by specialty
• Primary Care 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.