NPI 1154302602

Jeffrey L Williamson, MD

Practitioner Surgery Physician Peoria, IL

Practice location

Address: 900 Main St Suite 530, Peoria, IL 61602-1005
Phone: (309) 672-5975
Fax: (309) 655-1678

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036066240 (IL)

Other Surgery providers in Illinois →

Registry record

NPI: 1154302602
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2005
Record last updated: 30 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.