Individual provider · Type 1 NPI

Jerome Taymon Domzalski, MD

Diagnostic Radiology Physician · Peoria, IL

NPI number 1952539280 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-4748

Call (309) 655-2000 Map

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853

Other practice locations

  • 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 · (425) 563-1500

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD185931 (OR)
Diagnostic Radiology Physician 2085R0202XMD60808674 (WA)
Diagnostic Radiology Physician 2085R0202XM-14669 (ID)
Diagnostic Radiology Physician Primary 2085R0202X036-164444 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1952539280

Jerome Taymon Domzalski, MD's National Provider Identifier is 1952539280, issued on Jun 25, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Oct 23, 2023.