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Individual

MR. LINDSEY A MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 W WILLOW KNOLLS DR, PEORIA, IL 61614-8121
(309) 683-0200
(309) 683-0201
Mailing address
3300 W WILLOW KNOLLS DR, PEORIA, IL 61614-8121
(309) 683-0200
(309) 683-0201

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
036083144
IL
207VX0000X
Obstetrics Physician
Primary
036083144
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07232118
BCBS OF ILLINOIS
IL
01
HEALTHLINK
239068
IL
01
JOHN DEERE
IL0101/203158434-01
IL
01
P00272393/DE1123
RAILROAD MEDICARE
IL
Enumeration date
05/19/2006
Last updated
10/28/2022
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