Dr. Philip James Mead, MD - Peoria, IL

Dr. Philip James Mead, MD

Student in an Organized Health Care Education/Training Program in Peoria, Illinois

NPI 1275028300

Philip James Mead is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Philip James Mead practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Philip James Mead is 1275028300 and holds a License No. 125071877 (Illinois).

The current practice location address for Philip James Mead is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-9351.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61603-1124

NPI Number

1275028300

Provider Name

Philip James Mead

Credential

Provider Entity Type

Individual

Gender

Male

Address

530 Ne Glen Oak Ave, Peoria, IL, 61603-1124

Phone Number

309-624-9351

Fax Number

Provider Enumeration Date

07/01/2018

Last Update Date

03/10/2024

Address

530 Ne Glen Oak Ave

City

Peoria

State

Illinois

Zip

61637-0001

Phone Number

309-624-9351

Fax Number

Address

530 Ne Glen Oak Ave

City

Peoria

State

Illinois

Zip

61637-0001

Phone Number

309-624-9351

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

125071877 (Illinois)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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