Individual
MANDIE GENEIL PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7171
Mailing address
1104 E RICHWOODS BLVD, PEORIA, IL 61603-1418
(641) 203-7345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036174739
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2022
Last updated
04/24/2026
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