Individual
MEHWISH KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
530 NE GLEN OAK AVE NORTH BUILDING 5676, PEORIA, IL 61637-0001
(309) 655-7732
(309) 655-7732
Mailing address
530 NE GLEN OAK AVE NORTH BUILDING 5676, PEORIA, IL 61637-0001
(309) 655-7732
(309) 655-7732
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.174446
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/22/2022
Last updated
06/09/2025
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