Individual
DR. MARYELIZABETH TYLER JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Mailing address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036128794
IL
208600000X
Surgery Physician
Primary
036128794
IL
2086S0105X
Surgery of the Hand (Surgery) Physician
036128794
IL
Other
Enumeration date
04/11/2009
Last updated
01/24/2025
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