person
Dr. George Gentry, MD
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1225016975

George Gentry is a Diagnostic Radiology Physician based in Peoria, IL and is specialized in Diagnostic Radiology. George Gentry practices in Peoria, IL and has the professional credentials of MD. The NPI Number for George Gentry is 1225016975 and holds a License No. 036-080941 (Illinois).

The current practice location address for George Gentry is 5409 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-682-7750 and via fax at 309-682-7786.

Location: 5409 N Knoxville Ave, Peoria, IL, 61612-3853
person
Provider Profile Details
NPI Number
1225016975
Provider Name
George Gentry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5409 N Knoxville Ave, Peoria, IL, 61612-3853
Phone Number
309-682-7750
Fax Number
309-682-7786
Provider Enumeration Date
01/04/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300027879 01 IL RAILROAD MEDICARE
054573 01 IL HEALTH ALLIANCE
211015 01 IL HEALTHLINK
0007222342 01 IL BLUE CROSS BLUE SHIELD
036080941-1 05 IL
370947902 01 IL TRICARE CHAMPUS
1005156 01 IL ACR
IL0100 01 IL JOHN DEERE
institution
Provider Business Practice Location Address Details
Address
5409 N Knoxville Ave
City
State
Zip
61615
Phone Number
309-682-7750
Fax Number
309-682-7786
person
Provider Business Mailing Address Details
Address
5409 N Knoxville Ave
City
State
Zip
61615
Phone Number
309-682-7750
Fax Number
309-682-7786
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036-080941 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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