Individual
DR. STEVEN E COVENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1512
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036103336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00615598
BCBS
—
05
—
036103336
—
IL
01
—
663210
MEDICARE ID
—
Enumeration date
11/27/2006
Last updated
10/23/2023
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