Irish, John Michael
Irish, John Michael is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Irish, John Michael can be contacted via phone (309) 655-2000.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-1000
Phone: (309) 655-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2013022996 | Missouri |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036-147061 | Illinois |
Profile Details
NPI number | 1619318235 |
---|---|
LBN Legal business name | Irish, John Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2013 |
Last updated | Oct 23rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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