Individual
DR. EMILY MARIE WICHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Mailing address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036176343
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036176343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.150494
MEDICAL LICENSING BOARD
OH
Enumeration date
04/03/2019
Last updated
07/31/2025
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