Individual provider · Type 1 NPI
William G. Nulty, MD
Pediatric Adolescent Medicine Physician · Peoria, IL
NPI number
1639148356
Active
Practice location
One Illini Dr, Medical Service Plan
Peoria, IL 61605
Mailing address
1 Illini Dr
Peoria, IL 61605-2576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 036085410 (IL) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Other pediatric adolescent medicine physician providers in Peoria
About NPI 1639148356
William G. Nulty, MD's National Provider Identifier is 1639148356, issued on Mar 15, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Peoria, IL. The record was last updated on Jul 9, 2007.