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Jacob Tony, M.D.

Psychiatry & Neurology, Neurology in Peoria, IL. Individual provider (NPI-1).

NPI number1881815488
StatusActive
Last updated in NPPESNov 9, 2017

Details

NPI
1881815488
Entity type
Individual (NPI-1)
Name
Jacob Tony
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2007
Last updated
Nov 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology125-046927ILYes

Practice location

900 Main St Ste 250
Peoria, IL 61602-5006

Phone 309-672-4522

Mailing address

900 Main St Ste 250
Peoria, IL 61602-5006

Phone 309-672-4522

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