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Individual provider · Endocrinology, Diabetes & Metabolism Physician · Peoria, IL

NPI

1801159165

Type

Individual (Type 1)

Primary specialty

Endocrinology, Diabetes & Metabolism Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RE0101X

License number

036150825 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2012-06-21

Last updated

2024-10-01