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Johnathon Douglas Stephens, MD
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1568812410

Johnathon Douglas Stephens is a Diagnostic Radiology Physician based in Morton, IL and is specialized in Diagnostic Radiology. Johnathon Douglas Stephens practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Johnathon Douglas Stephens is 1568812410 and holds a License No. 125.069543 (Illinois).

The current practice location address for Johnathon Douglas Stephens is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61550-1358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568812410
Provider Name
Johnathon Douglas Stephens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61550-1358
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
06/21/2016
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
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125.069543 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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