St. Margaret's Health-Peru

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ST. MARGARET'S HEALTH-PERU

Doing business as

Ilinois Valley Community Hospital Pain Clinic
Illinois Valley Community Hospital Pain Clinic
SMH-Peru Pain Clinic

Practice address

925 West St
Peru, IL 61354-2757

Phone

(815) 780-3817

NPI assigned

Dec 17, 2020

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 C Bonnell

Title

Director

Phone

(815) 780-3222

Specialties & licenses 1

Addresses

Other names 3

• Ilinois Valley Community Hospital Pain Clinic Doing business as
• Illinois Valley Community Hospital Pain Clinic Doing business as
• SMH-Peru Pain 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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1952997538",
    "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": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-780-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARGARET'S HEALTH-PERU",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BONNELL",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-780-3222"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilinois Valley Community Hospital Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illinois Valley Community Hospital Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMH-Peru Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 / Peru Primary Care Clinic)
• St. Margaret's Health-Peru (Ivch Medical Group / Adult Medicine Clinic)
• St. Margaret's Health-Peru (IVCH Immunization Clinic)
• Scott Richard Stanke, DDS
• Donna J. Sweetland, M.D.
• Lori A Teverbaugh, M.D.
• The Visions Group, Inc. (Sterling Optical)

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