Individual
AMY CHRISTISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7801 N KNOXVILLE AVE, PEORIA, IL 61614-2076
(309) 692-6088
(309) 692-0502
Mailing address
7801 N KNOXVILLE AVE, PEORIA, IL 61614-2076
(309) 692-6088
(309) 692-0502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008433
HEALTH ALLIANCE
IL
05
—
0360802051
—
IL
01
—
472310
HEALTHLINK
IL
01
—
7215059
7215059
IL
01
—
IL0112
JOHN DEERE
IL
Enumeration date
06/08/2006
Last updated
07/08/2007
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