Individual
DR. CHAD M CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3335 N STERLING AVE, PEORIA, IL 61604-1837
(309) 687-5900
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049802
HEALTH ALLIANCE
IL
01
—
080146523
RAILROAD MEDICARE
IL
01
—
475091
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01D8
JOHN DEERE
IL
Enumeration date
07/27/2006
Last updated
07/21/2022
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