NPI 1548297252

Churphena Reid, MD

Practitioner Urology Physician Peoria, IL

Practice location

Address: 1001 Main St Suite 201, Peoria, IL 61606-1907
Phone: (309) 495-0282
Fax: (309) 495-0298
Mailing address: 1001 Main St STE 201, Peoria, IL 61606-1907

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036089160 (IL)

Other Urology providers in Illinois →

Registry record

NPI: 1548297252
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2006
Record last updated: 18 Sep 2012

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.