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Maryah Mansoor, MD
Rheumatology Physician in Peoria, Illinois
NPI 1659684777

Maryah Mansoor is a Rheumatology Physician based in Peoria, IL and is specialized in Rheumatology. Maryah Mansoor practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Maryah Mansoor is 1659684777 and holds a License No. C1-0011382 (Illinois).

The current practice location address for Maryah Mansoor is 1800 N Knoxville Ave Ste E, Peoria, IL and can be reached out via phone at 309-308-0910 and via fax at 309-308-0919.

Location: 1800 N Knoxville Ave Ste E, Peoria, IL, 61603-3005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659684777
Provider Name
Maryah Mansoor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1800 N Knoxville Ave Ste E, Peoria, IL, 61603-3005
Phone Number
309-308-0910
Fax Number
309-308-0919
Provider Enumeration Date
07/18/2010
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75524 01 MN MD LICENSE
institution
Provider Business Practice Location Address Details
Address
1800 N Knoxville Ave Ste E
City
Peoria
State
Illinois
Zip
61603-3005
Phone Number
309-308-0910
Fax Number
309-308-0919
person
Provider Business Mailing Address Details
Address
1800 N Knoxville Ave Ste E
City
Peoria
State
Illinois
Zip
61603-3005
Phone Number
309-308-0910
Fax Number
309-308-0919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
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Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C1-0011382 (Delaware)
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.
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