Individual
JUSTIN AHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8800 N. IL ROUTE 91, PEORIA, IL 61614
(309) 683-4486
Mailing address
717 HIGHVIEW RD, EAST PEORIA, IL 61611-1729
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036113723
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036113723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113723
—
IL
Enumeration date
03/08/2006
Last updated
06/29/2025
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