person
Dr. Jerome Taymon Domzalski, MD
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1952539280

Jerome Taymon Domzalski is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Jerome Taymon Domzalski practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Jerome Taymon Domzalski is 1952539280 and holds a License No. MD185931 (Illinois).

The current practice location address for Jerome Taymon Domzalski 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
person
Provider Profile Details
NPI Number
1952539280
Provider Name
Jerome Taymon Domzalski
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
06/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0384868 01 WA LNI TRA-MINW, PS REST OF WA COUNTIES
0384886 01 WA LNI DINW
0408166 01 WA LNI RADIA REST OF WA
0384879 01 WA LNI TRA-MINW, PS KING COUNTY
0408173 01 WA LNI EVERGREEN RADIA
2094399 05 WA
0384883 01 WA LNI UAOM
0408171 01 WA LNI SWEDISH RADIA EDMONDS
0408174 01 WA LNI SOUTH SOUND RADIOLOGY
0408176 01 WA LNI SEATTLE RADIOLOGY
0408168 01 WA LNI RADIA KING COUNTY
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-4748
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-4748
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD185931 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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