Individual
ANTHONY M DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 657-5186
Mailing address
1219 E ELMHURST AVE, PEORIA, IL 61603-1527
(309) 657-5186
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
041436954
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209023127
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209023127
IL
Other
Enumeration date
04/07/2021
Last updated
02/27/2026
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