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Search › Illinois › 207P00000X

James Tackett, MD

NPI 1699787804 · on the registry since 2006

Practice

Address
221 Ne Glen Oak Ave
Peoria, IL 61636
Phone
(309) 999-1091
Organisation at this address
Methodist
Walgreen Co
Epss, Llc- Metro Series
Heartland Home Health Care
Peoria Area Women'S Hospitalist
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207R00000X
207R00000X
207P00000X
207P00000X
Licence states on file
AL, WY, IL, WV, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-07

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