Search › Illinois › 363LA2100X
Ben Coyer
NPI 1407517394 · on the registry since 2022
Practice
- Address
- 2816 W Playden Dr
Peoria, IL 61615 - Phone
- (309) 202-4937
- Fax
- (309) 676-6545
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-13
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