Search › Illinois › 363LF0000X
Miranda Mcmahan
NPI 1528823705 · on the registry since 2024
Practice
- Address
- 330 Sw Adams St
Peoria, IL 61602 - Phone
- (309) 402-2978
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-16
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