OrganizationActive
David J Coynik, Md,pc
NPI 1225214323 · Medical Specialty Clinic/Center · Peru, IL
Provider details
- NPI number
- 1225214323
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Coynik, Oficer(815) 223-6975
- License
- 036055725 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4413 N. Progress Blvd.
Peru, IL 61354-2763
Phone: (815) 223-6975
Fax: (815) 223-0640
Approximate (ZIP-level) locationGet directions
Mailing address
4413 N. Progress Blvd.
Peru, IL 61354-2763
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2009-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.