Individual
JOHN PAUL LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
(309) 655-3800
(309) 655-3948
Mailing address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
(309) 655-3800
(309) 655-3948
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036177353
IL
207X00000X
Orthopaedic Surgery Physician
MDR-7526
HI
Other
Enumeration date
05/17/2018
Last updated
09/30/2025
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