Whalio Doctors

NPI 1174519219

Thomas J Mulvey, MD

Practitioner Adult Reconstructive Orthopaedic Surgery Physician Peoria, IL

Practice location

Address
6000 N Allen Road, Peoria, IL 61614-3294
Phone
(309) 691-1400

Registered specialties (2)

Adult Reconstructive Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XS0114X Licence 036094833 (IL)
Specialist
Other Service Providers Taxonomy 174400000X Licence 036094833 (IL)

Registry record

NPI
1174519219
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Sep 2005
Record last updated
8 Dec 2024

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.