Individual
DR. ABIGAIL ALAYNE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5017 N GLEN PARK PLACE RD, PEORIA, IL 61614-4677
(309) 691-1589
(309) 692-2032
Mailing address
5401 N KNOXVILLE AVE, STE 117, PEORIA, IL 61614-5068
(309) 689-8888
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005175
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005175
—
IL
Enumeration date
08/05/2006
Last updated
09/19/2016
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