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Dr. Mikala Rae Brinkman, BA,MD
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1366651192

Mikala Rae Brinkman is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Mikala Rae Brinkman practices in Peoria, IL and has the professional credentials of BA,MD. The NPI Number for Mikala Rae Brinkman is 1366651192 and holds a License No. 036-118496 (Illinois).

The current practice location address for Mikala Rae Brinkman is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-7768.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366651192
Provider Name
Mikala Rae Brinkman
Credential
BA,MD
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Phone Number
309-655-7768
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7768
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7768
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036-118496 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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