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Timothy Whitehead, MD
Vascular & Interventional Radiology Physician in Peoria, Illinois
NPI 1871752428

Timothy Whitehead is a Vascular & Interventional Radiology Physician based in East Peoria, IL and is specialized in Vascular & Interventional Radiology. Timothy Whitehead practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Timothy Whitehead is 1871752428 and holds a License No. 35.123822 (Illinois).

The current practice location address for Timothy Whitehead is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871752428
Provider Name
Timothy Whitehead
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
06/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0104941 05 OH
35.123822 01 OH LICENSE
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-5429
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-5429
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
82252 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
35.123822 (Ohio)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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