Individual
DR. MARTHA JOANNE WILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1216 N MAPLEWOOD AVE, PEORIA, IL 61606-1038
(309) 674-4500
(309) 674-4500
Mailing address
1701 W GARDEN ST, PEORIA, IL 61605-3531
(309) 680-7600
(309) 680-7686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0306042307
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306042037
—
IL
Enumeration date
01/05/2006
Last updated
11/09/2015
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