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Individual

DR. EDWARD W PEGG IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2204 EASTLAND DR, BLOOMINGTON, IL 61704-3567
(309) 661-6900
(309) 661-6990
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
(217) 383-3311

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036141863
IL

Other

Enumeration date
12/20/2012
Last updated
08/28/2025
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