Search › Illinois › 207R00000X
Kody Dormire, DO
NPI 1083241293 · on the registry since 2020
Practice
- Address
- 530 Ne Glen Oak Ave
Peoria, IL 61637 - Phone
- (309) 655-4940
- Organisation at this address
- University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,001
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208000000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois