David Tennant

NPI 1114345584 · on the registry since 2014 · sole proprietor

Practice

Address: 5409 N Knoxville Ave
Peoria, IL 61614
Phone: (309) 691-1000
Organisation at this address: James R Debord
Health Plus Inc
Epss Peoria Llc
Tri County Radiology
Proctor Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-05-17

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