Individual
DARCY ANN WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 655-2431
Mailing address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 655-2431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036097119
IL
Other
Enumeration date
03/07/2007
Last updated
12/12/2014
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