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Dr. Daniel Scott Mulconrey, MD
Specialist in Peoria, Illinois
NPI 1710914064

Daniel Scott Mulconrey is a Specialist based in Peoria, IL. Daniel Scott Mulconrey practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Daniel Scott Mulconrey is 1710914064 and holds a License No. 036-118429 (Illinois).

The current practice location address for Daniel Scott Mulconrey is 6000 N Allen Rd, Peoria, IL and can be reached out via phone at 309-691-1400 and via fax at 309-689-7081.

Location: 6000 N Allen Rd, Peoria, IL, 61614-3294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710914064
Provider Name
Daniel Scott Mulconrey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6000 N Allen Rd, Peoria, IL, 61614-3294
Phone Number
309-691-1400
Fax Number
309-689-7081
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036118429 05 IL
institution
Provider Business Practice Location Address Details
Address
6000 N Allen Rd
City
Peoria
State
Illinois
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
309-689-7081
person
Provider Business Mailing Address Details
Address
6000 N Allen Rd
City
Peoria
State
Illinois
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
309-689-7081
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-118429 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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