Individual
DR. GEORGE KENNETH SHOTICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
(309) 671-4695
Mailing address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
(309) 671-4695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-059533
IL
Other
Enumeration date
03/20/2007
Last updated
02/15/2016
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