Organization · Type 2 NPI
Central Illinois Nerve Testing Ltd
Primary Podiatric Medicine Podiatrist · Peoria, IL
NPI number
1386802775
Active
Practice location
3322 W Willow Knolls Rd
Peoria, IL 61614-8148
Fax (309) 637-2325
Mailing address
614 Spring St
Peoria, IL 61603-4133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 016003701 (IL) |
| Exclusive Provider Organization | 302F00000X | 016003701 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Other primary podiatric medicine podiatrist providers in Peoria
About NPI 1386802775
Central Illinois Nerve Testing Ltd's National Provider Identifier is 1386802775, issued on Jun 2, 2008. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Peoria, IL. The record was last updated on Sep 19, 2008.