Individual
DR. TERRY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 STATE ROUTE 91 STE 200, PEORIA, IL 61615-7833
(309) 692-1030
(309) 691-3241
Mailing address
3804 W GROVEMILL CT, DUNLAP, IL 61525-9441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125051338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809840
MEDICARE GROUP PTAN
IL
Enumeration date
05/31/2007
Last updated
06/04/2020
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