Individual
KEITH PEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 N SEMINARY ST, 201, GALESBURG, IL 61401-2852
(309) 343-7135
Mailing address
834 N SEMINARY ST, 201, GALESBURG, IL 61401-2852
(309) 343-7135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360811401
—
IL
Enumeration date
07/18/2005
Last updated
12/03/2007
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