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 / Streator Medical Clinic
SMH-Peru/Streator Medical Clinic

Practice address

104 E Bridge St
Streator, IL 61364-2976

Phone

(815) 780-5029

Fax

(815) 780-4634

NPI assigned

Dec 31, 2015

Last updated

Jan 27, 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 / Streator Medical Clinic Doing business as
• SMH-Peru/Streator Medical 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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1578929816",
    "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": "815-672-0567",
            "fax_number": "815-672-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E BRIDGE ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642976",
            "telephone_number": "815-780-5029",
            "fax_number": "815-780-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2015-12-31",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "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 / Streator Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVCH Medical Group / Streator Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Streator Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Sorensen, RPH
• St Marys Hospital (St Marys Orthopedics)
• St Marys Hospital (St Marys Urology)
• St Marys Hospital Streator Hospital Sisters of the 3Rd Ordr St Francis (St. Mary's Extended Care Facility)
• St Marys Hospital Streator Hospital Sisters of the 3Rd Ordr St Francis (St Marys Home Health)
• St. Mary's Hospital (St. Mary's Vascular and Thoracic Surgery)
• St. Mary's Hospital
• St. Mary's Hospital Streator Hospital Sisters of the 3Rd Order St Fran
• St. Marys Hospital (St. Mary's Prairie Cardiology)
• Kelly Lynn Stiles, LMT

• Medical Specialty Clinic/Center in Streator, IL
• Providers in Streator, 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 27, 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.