St. Margaret'S Health-Peru

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ST. MARGARET'S HEALTH-PERU

Practice address

920 West St Ste 218
Peru, IL 61354-2769

Phone

(815) 780-4644

NPI assigned

Mar 18, 2016

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 / Infectious Disease Clinic Doing business as
• SMH-Peru/Infectious Disease Clinic Doing business as

Part of

Ivch Immunization Clini

Locations

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1306207311",
    "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": "815-780-4644"
        },
        {
            "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": "815-780-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2016-03-18",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH Medical Group / Infectious Disease Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVCH Medical Group / Infectious Disease Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Infectious Disease Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru
• St. Margaret'S Health-Peru

• 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.