Organization
CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES, LTD.
Active
Other names
Central Illinois Radiological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FAHEY MD (PRESIDENT)
(309) 740-4272
Entity
Organization
Contact information
Practice address
530 NE GLEN OAK AVENUE, PEORIA, IL 61637
(309) 740-4272
(309) 740-7479
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
(309) 740-7479
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
07/09/2020
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