SearchIllinois207RR0500X

Maryah Mansoor, MD

NPI 1659684777 · on the registry since 2010

Practice

Address
1800 N Knoxville Ave Ste E
Peoria, IL 61603
Phone
(309) 308-0910
Fax
(309) 308-0919
Organisation at this address
Pointcore, Inc.
Osf Healthcare System
Osf Multi-Specialty Group
Heartland Community Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • Po Box A, Onamia, MN
  • 501 West 14th Street, 5th Floor, Wilmington, DE

Registry record

Primary taxonomy
207RR0500X
207RR0500X
Also registered as
207R00000X
390200000X
207RR0500X
207RR0500X
Licence states on file
PA, DE, IL, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-10

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