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David Tennant
Family Medicine Physician in Peoria, Illinois
NPI 1114345584

David Tennant is a Family Medicine Physician based in Peoria, IL. David Tennant practices in Peoria, IL. The NPI Number for David Tennant is 1114345584 and holds a License No. 036144079 (Illinois).

The current practice location address for David Tennant is 5409 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-691-1000.

Location: 5409 N Knoxville Ave, Peoria, IL, 61614-5069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114345584
Provider Name
David Tennant
Credential
Provider Entity Type
Individual
Gender
Male
Address
5409 N Knoxville Ave, Peoria, IL, 61614-5069
Phone Number
309-691-1000
Fax Number
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5409 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614
Phone Number
309-691-1000
Fax Number
person
Provider Business Mailing Address Details
Address
5409 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614
Phone Number
309-691-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036144079 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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