OrganizationActive
Integramed Medical Illinois, LLC
NPI 1396169280 · Reproductive Endocrinology Physician · Peoria, IL
Provider details
- NPI number
- 1396169280
- Entity type
- Organization
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Satish Vayuvegula, Presiden and Secretary(309) 689-0411
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5401 N Knoxville Ave
Suite 102
Peoria, IL 61614-5098
Phone: (309) 689-0411
Approximate (ZIP-level) locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5098
Registry dates
- Enumerated
- 2014-02-12
- Last updated
- 2014-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.