Individual
DR. JEAN B VAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 308-3500
(309) 623-4365
Mailing address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 308-3500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036048216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084216
—
IL
Enumeration date
09/29/2005
Last updated
05/06/2025
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