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Dr. Donald E Penn JR., MD
Gastroenterology Physician in Peoria, Illinois
NPI 1780628388

Donald E Penn JR. is a Gastroenterology Physician based in Morton, IL and is specialized in Gastroenterology. Donald E Penn JR. practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Donald E Penn JR. is 1780628388 and holds a License No. 036062844 (Illinois).

The current practice location address for Donald E Penn JR. is 1001 Main St, Peoria, IL and can be reached out via phone at 309-672-4980 and via fax at 309-671-2944.

Location: 1001 Main St, Peoria, IL, 61550-0365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780628388
Provider Name
Donald E Penn JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Main St, Peoria, IL, 61550-0365
Phone Number
309-672-4980
Fax Number
309-671-2944
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371221637 01 IL FEDERAL TAX IDENTIFICATIO
07215152 01 IL BLUE CROSS
166330 01 IL HEALTHLINK
100004399 01 IL RAILROAD MEDICARE
IL0101 01 IL JOHN DEERE
4282553 01 IL AETNA HEALTH PLANS
008850 01 IL HEALTH ALLIANCE
036062844 05 IL
776530 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1001 Main St
City
Peoria
State
Illinois
Zip
61606
Phone Number
309-672-4980
Fax Number
309-671-2944
person
Provider Business Mailing Address Details
Address
1001 Main St
City
Peoria
State
Illinois
Zip
61606
Phone Number
309-672-4980
Fax Number
309-671-2944
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
036062844 (Illinois)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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