Individual
MARY MARGARET KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
41513787
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209035156
IL
Other
Enumeration date
11/14/2025
Last updated
04/10/2026
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