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Individual

BEN COYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2816 W PLAYDEN DR, PEORIA, IL 61615-7506
(309) 202-4937
(309) 676-6545
Mailing address
2816 W PLAYDEN DR, PEORIA, IL 61615-7506

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041446156
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.024878
IL

Other

Enumeration date
01/04/2022
Last updated
01/13/2025
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