Mcdonough, Joanie
Mcdonough, Joanie is an individual health care provider with primary practice located at 500 Centennial Dr , East Peoria IL 61611-4912. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mcdonough, Joanie can be contacted via phone (309) 694-9865.Contact Information
Primary practice address
500 Centennial Dr
East Peoria IL 61611-4912
Phone: (309) 694-9865
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160000553 | Illinois |
Profile Details
NPI number | 1700051687 |
---|---|
LBN Legal business name | Mcdonough, Joanie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2008 |
Last updated | Apr 23rd, 2008 - about 16 years ago |
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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