Individual
MARYJO MALIEKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 N KNOXVILLE AVE STE E, PEORIA, IL 61603-3005
(309) 308-0910
(309) 308-0919
Mailing address
1800 N KNOXVILLE AVE STE E, PEORIA, IL 61603-3005
(309) 308-0910
(309) 308-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.073603
IL
207RR0500X
Rheumatology Physician
Primary
036171952
IL
390200000X
Student in an Organized Health Care Education/Training Program
BP10078213
TX
Other
Enumeration date
03/22/2019
Last updated
05/05/2025
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