Individual
MR. TERRY MERIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP FACN FACE
Contact information
Practice address
900 MAIN STREET, SUITE 300, PEORIA, IL 61602
(309) 673-1717
(309) 673-7221
Mailing address
900 MAIN STREET, SUITE 300, PEORIA, IL 61602
(309) 673-1717
(309) 673-7221
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0360586021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058602
—
IL
01
—
792111124
RAILROAD MEDICARE
—
01
—
9000138
BCBS
IL
Enumeration date
10/27/2006
Last updated
03/13/2013
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