Individual
DR. DOUGLAS JUVINALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.145307
IL
Other
Enumeration date
03/28/2014
Last updated
08/09/2019
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