Individual
ELIZA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 MAIN ST, PEORIA, IL 61606-1907
(309) 672-4980
Mailing address
1001 MAIN ST, PEORIA, IL 61606-1907
(309) 676-4980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209031196
IL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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