Individual
BAILEY JEAN BUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 683-2410
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019934
IL
Other
Enumeration date
09/10/2019
Last updated
01/09/2023
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