Whalio Doctors

NPI 1174765721

Janeen Noelle Buonaccorsi, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Peoria, IL

Practice location

Address
530 NE Glen Oak Ave, Peoria, IL 61637-2050
Phone
(309) 624-9052
Mailing address
530 NE Glen Oak Ave, Peoria, IL 61637-0001

Registered specialties (5)

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036138415 (IL)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 106815 (MN)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 56826 (MN)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence A130023 (CA)
Anatomic Pathology & Clinical Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence A130023 (CA)

Registry record

NPI
1174765721
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Mar 2009
Record last updated
11 Dec 2022

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.