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Richard Paul Driessnack, MD
Adult Reconstructive Orthopedic Surgery Physician in Peoria, Illinois
NPI 1679573901

Richard Paul Driessnack is an Adult Reconstructive Orthopedic Surgery Physician based in Peoria, IL and is specialized in Adult Reconstructive Orthopedic Surgery. Richard Paul Driessnack practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Richard Paul Driessnack is 1679573901 and holds a License No. 36077466 (Illinois).

The current practice location address for Richard Paul Driessnack is 303 N William Kumpf Blvd, Peoria, IL and can be reached out via phone at 309-676-5546 and via fax at 309-676-5045.

Location: 303 N William Kumpf Blvd, Peoria, IL, 61605-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679573901
Provider Name
Richard Paul Driessnack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
303 N William Kumpf Blvd, Peoria, IL, 61605-2507
Phone Number
309-676-5546
Fax Number
309-676-5045
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36077466 05 IL
institution
Provider Business Practice Location Address Details
Address
303 N William Kumpf Blvd
City
Peoria
State
Illinois
Zip
61605-2507
Phone Number
309-676-5546
Fax Number
309-676-5045
person
Provider Business Mailing Address Details
Address
303 N William Kumpf Blvd
City
Peoria
State
Illinois
Zip
61605-2507
Phone Number
309-676-5546
Fax Number
309-676-5045
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
36077466 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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