person
Dr. Peter N. Ly, DPM
Foot Surgery Podiatrist in Peoria, Illinois
NPI 1447254396

Peter N. Ly is a Foot Surgery Podiatrist based in Peoria, IL and is specialized in Foot Surgery. Peter N. Ly practices in Peoria, IL and has the professional credentials of DPM. The NPI Number for Peter N. Ly is 1447254396 and holds a License No. E3804 (Illinois).

The current practice location address for Peter N. Ly is 7717 N. Orange Prairie Road, Peoria, IL and can be reached out via phone at 619-518-1506 and via fax at 309-589-6994.

Location: 7717 N. Orange Prairie Road, Peoria, IL, 61615
person
Provider Profile Details
NPI Number
1447254396
Provider Name
Peter N. Ly
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7717 N. Orange Prairie Road, Peoria, IL, 61615
Phone Number
619-518-1506
Fax Number
309-589-6994
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E38040 05 CA
institution
Provider Business Practice Location Address Details
Address
7717 N. Orange Prairie Road
City
State
Zip
61615
Phone Number
619-518-1506
Fax Number
309-589-6994
person
Provider Business Mailing Address Details
Address
7717 N. Orange Prairie Road
City
State
Zip
61615
Phone Number
619-518-1506
Fax Number
309-589-6994
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E3804 (California)
Definition
Definition to come...
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