NPI 1356315246
Mark Jennings, MD
Practice location
- Address
- Pediatric Neurology 515 NE Glen Oak #308, Peoria, IL 61603
- Phone
- (309) 624-9844
- Mailing address
- 1 Illini Dr, Peoria, IL 61605-2576
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1356315246
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Feb 2006
- Record last updated
- 13 Jul 2026
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.