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Denise M. Mammolito, MD
Surgery Physician in Peoria, Illinois
NPI 1972604221

Denise M. Mammolito is a Surgery Physician based in Peoria, IL. Denise M. Mammolito practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Denise M. Mammolito is 1972604221 and holds a License No. 036082251 (Illinois).

The current practice location address for Denise M. Mammolito is 1001 Main Street, Peoria, IL and can be reached out via phone at 309-495-0250 and via fax at 309-676-6545.

Location: 1001 Main Street, Peoria, IL, 61606-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972604221
Provider Name
Denise M. Mammolito
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1001 Main Street, Peoria, IL, 61606-2037
Phone Number
309-495-0250
Fax Number
309-676-6545
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7215166 01 IL BCBS OF ILLINOIS
K35445 01 IL MEDICARE ID, TYPE UNSPEC
036082251 05 IL
institution
Provider Business Practice Location Address Details
Address
1001 Main Street
City
Peoria
State
Illinois
Zip
61606-2037
Phone Number
309-495-0250
Fax Number
309-676-6545
person
Provider Business Mailing Address Details
Address
1001 Main Street
City
Peoria
State
Illinois
Zip
61606-2037
Phone Number
309-495-0250
Fax Number
309-676-6545
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
036082251 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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