| Ivch Wound & Hyperbaric Center | |
|
1403 Sixth Street Peru IL 61354 | |
| (815) 780-3834 | |
| (815) 780-3833 |
| Full Name | Ivch Wound & Hyperbaric Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1403 Sixth Street, Peru, Illinois |
| Authorized Official Name and Position | Lisa Kay Lynch (AVP OF FINANCE) |
| Authorized Official Contact | 8157803574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivch Wound & Hyperbaric Center 1403 Sixth Street Peru IL 61354 Ph: (815) 780-3834 | Ivch Wound & Hyperbaric Center 1403 Sixth Street Peru IL 61354 Ph: (815) 780-3834 |
| NPI Number | 1205469483 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205469483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 163WW0000X | Registered Nurse - Wound Care | (NU) | Secondary |
| 208600000X | Surgery | (NU) | Secondary |
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