Abigail Alayne Mahoney in Peoria - Foot & Ankle Surgery
Abigail Alayne Mahoney - NPI 1710996103
Abigail Alayne Mahoney is a Foot & Ankle Surgery in Peoria, Illinois. Abigail Alayne Mahoney practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Abigail Alayne Mahoney is 1710996103. The last update date is 2016-09-19.
Abigail Alayne Mahoney's current location address is 5017 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096911589 and fax number 3096922032. The mailing address for Abigail Alayne Mahoney is 5017 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abigail Alayne Mahoney |
|---|---|
| Address | 5017 N Glen Park Place Rd, Peoria, Illinois |
| Phone Number | 3096911589 |
| Fax Number | 3096922032 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1710996103 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2016-09-19 |
Provider Mailing Address Detail
| Address | 5017 N Glen Park Place Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144677 |
| Phone Number | 3096911589 |
| Fax Number | 3096922032 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16005175 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16005175 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Abigail Alayne Mahoney?
The Abigail Alayne Mahoney has been issued the NPI (National Provider Identifier) 1710996103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Abigail Alayne Mahoney is geographically located?
The Abigail Alayne Mahoney is physically situated at the following location: 5017 N Glen Park Place Rd, Peoria, IL, 616144677.
What is Abigail Alayne Mahoney's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Abigail Alayne Mahoney is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
When did Abigail Alayne Mahoney receive its 1710996103 assignment?
The Abigail Alayne Mahoney was assigned its 1710996103 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
When was the Abigail Alayne Mahoney's information last updated?
The Abigail Alayne Mahoney's information was last updated on 2016-09-19.