# JUSTIN R. AHLMAN, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518387109
- **Authorized official:** JUSTIN R AHLMAN M.D. (OWNER)
- **Authorized official phone:** (309) 264-6124

## Contact information

- **Practice address:** 3322 W WILLOW KNOLLS DR, PEORIA, IL 61614-8148
- **Practice address phone:** (309) 264-6124
- **Mailing address:** PO BOX 3092, PEORIA, IL 61612-3092
- **Mailing address phone:** (309) 264-6124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036113723 | IL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036113723 | IL | — |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 04/22/2014