Individual
DR. JOHN MICHAEL IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1000
(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
2013022996
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-147061
IL
Other
Enumeration date
07/11/2013
Last updated
10/23/2023
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