St. Margaret's Health-Peru

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089936 Issued in IL

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

Ivch Medical Group / Peru Primary Care Clinic
SMH-Peru/Peru Primary Care Clinic

Practice address

920 West St
Suite 311
Peru, IL 61354-2763

Phone

(815) 223-9214

Fax

(815) 223-9322

NPI assigned

Jul 20, 2011

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 4

Addresses

Other names 2

• IVCH MEDICAL GROUP / PERU PRIMARY CARE CLINIC Doing business as
• SMH-Peru/Peru Primary Care 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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1912295270",
    "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": "815-780-5030",
            "fax_number": "815-780-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST",
            "address_2": "SUITE 311",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542763",
            "telephone_number": "815-223-9214",
            "fax_number": "815-223-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2011-07-20",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089936",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124821",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036124821",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036089936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVCH MEDICAL GROUP / PERU PRIMARY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru/Peru Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Margaret's Health-Peru (Peru Anesthesia)
• St. Margaret's Health-Peru (IVCH Medical Group / ENT & Allergy Center)
• St. Margaret's Health-Peru (Ivch Medical Group / Peru Primary Care Clinic)
• St. Margaret's Health-Peru
• St. Margaret's Health-Peru
• St. Margaret's Health-Peru (Ivch Medical Group / Adult Medicine Clinic)
• St. Margaret's Health-Peru (Ilinois Valley Community Hospital Pain Clinic)
• St. Margaret's Health-Peru (IVCH Immunization Clinic)
• Scott Richard Stanke, DDS
• Donna J. Sweetland, M.D.

• Family Medicine Physician in Peru, IL
• Providers in Peru, IL by specialty
• Family Medicine Physician 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.