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William G Nulty, MD
Pediatric Adolescent Medicine Physician in Peoria, Illinois
NPI 1639148356

William G Nulty is a Pediatric Adolescent Medicine Physician based in Peoria, IL and is specialized in Adolescent Medicine. William G Nulty practices in Peoria, IL and has the professional credentials of MD. The NPI Number for William G Nulty is 1639148356 and holds a License No. 036085410 (Illinois).

The current practice location address for William G Nulty is One Illini Dr, Peoria, IL and can be reached out via phone at 309-671-8503. You can also correspond with William G Nulty through the mailing address at 1 ILLINI DR, PEORIA, IL - 61605-2576 (mailing address contact number: 309-671-8503).

Location: One Illini Dr, Peoria, IL, 61605-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639148356
Provider Name
William G Nulty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Illini Dr, Peoria, IL, 61605-2576
Phone Number
309-671-8503
Fax Number
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07215036 01 IL BCBS
IL01DC 01 IL JOHN DEERE
036085410 05 IL
institution
Provider Business Practice Location Address Details
Address
One Illini Dr
City
Peoria
State
Illinois
Zip
61605
Phone Number
309-671-8503
Fax Number
person
Provider Business Mailing Address Details
Address
One Illini Dr
City
Peoria
State
Illinois
Zip
61605
Phone Number
309-671-8503
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
036085410 (Illinois)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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