Individual
PETER CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1 AUDUBON PLAZA DR OFC L2, LOUISVILLE, KY 40217-1318
(502) 636-7111
Mailing address
5401 N KNOXVILLE AVE STE 308, PEORIA, IL 61614-5099
(309) 691-6610
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005968
IL
213E00000X
Podiatrist
246958
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
016005968
IL
Other
Enumeration date
09/09/2019
Last updated
10/11/2024
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