Individual
DR. BRIAN W HEYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAIN ST, SUITE 530, PEORIA, IL 61602-1005
(309) 672-5975
(309) 655-1678
Mailing address
900 MAIN ST, SUITE 530, PEORIA, IL 61602-1005
(309) 672-5975
(309) 655-1678
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036081998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360819982
—
IL
Enumeration date
11/10/2005
Last updated
03/30/2011
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