Individual
DR. DANIELLE FAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
600 WALNUT ST, KNOXVILLE, IL 61448-1452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.086438
IL
Other
Enumeration date
06/10/2025
Last updated
02/11/2026
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