Individual
TAYYABA IRSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8829
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8829
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036128654
IL
208M00000X
Hospitalist Physician
41219
KY
Other
Enumeration date
05/01/2006
Last updated
10/21/2019
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