IVCH MEDICAL GROUP / LaSalle Medical Clinic – Family Medicine Physician, NPI 1861770802

IVCH MEDICAL GROUP / LaSalle Medical Clinic is a healthcare provider. based in Peru, Illinois. specializing in Family Medicine Physician. The NPI Number for IVCH MEDICAL GROUP / LaSalle Medical Clinic is 1861770802

Main info

Organization
Name
IVCH MEDICAL GROUP / LaSalle Medical Clinic
NPI
1861770802
Phone
(815) 780-5030
Address
1305 6TH ST
Authorized Official
DORI BONNELL DIRECTOR OF PHYSICIAN PRACTICES
Enumeration Date
25 July 2011
Last Update Date
27 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for IVCH MEDICAL GROUP / LaSalle Medical Clinic

  • 1305 6TH ST

    PERU, IL 613542759

    Phone: (815) 780-5030

    Type: Mailing

  • 128 BUCKLIN ST

    LA SALLE, IL 613012389

    Phone: (815) 220-7170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61354)

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Reviews

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Frequently asked questions

What number should I use to identify IVCH MEDICAL GROUP / LaSalle Medical Clinic for billing?
Administrative and clinical systems typically use NPI 1861770802 for IVCH MEDICAL GROUP / LaSalle Medical Clinic.
Is IVCH MEDICAL GROUP / LaSalle Medical Clinic currently accepting referrals based on NPI status?
Registry metadata lists IVCH MEDICAL GROUP / LaSalle Medical Clinic as active.
What services align with IVCH MEDICAL GROUP / LaSalle Medical Clinic's listing?
IVCH MEDICAL GROUP / LaSalle Medical Clinic's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to IVCH MEDICAL GROUP / LaSalle Medical Clinic?
IVCH MEDICAL GROUP / LaSalle Medical Clinic is associated with Peru, Illinois in the same public data insurers reference.
Why is information missing for IVCH MEDICAL GROUP / LaSalle Medical Clinic?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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