location
search-icon
person
Mandie Geneil Gassman, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1518696780

Mandie Geneil Gassman is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Mandie Geneil Gassman practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Mandie Geneil Gassman is 1518696780 and holds a License No. (Illinois).

The current practice location address for Mandie Geneil Gassman is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-7171.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61603-1418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518696780
Provider Name
Mandie Geneil Gassman
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61603-1418
Phone Number
309-655-7171
Fax Number
Provider Enumeration Date
06/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7171
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7171
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.