OrganizationActive
Advanced Internal Medicine LLC
NPI 1124342407 · Primary Care Clinic/Center · Peru, IN
Provider details
- NPI number
- 1124342407
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Quin, Owner(765) 472-3944
- License
- 01045818 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
302 N Duke St
Peru, IN 46970-1520
Phone: (765) 472-3944
Fax: (765) 472-3945
Approximate (ZIP-level) locationGet directions
Mailing address
302 N Duke St
Peru, IN 46970-1520
Registry dates
- Enumerated
- 2010-03-16
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.