Individual
GARY R MACVICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3069
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3069
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
036
IL
207RH0003X
Hematology & Oncology Physician
Primary
036114093
IL
207RX0202X
Medical Oncology Physician
036114093
IL
Other
Enumeration date
01/11/2006
Last updated
03/02/2026
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