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Mary Tisdale, CNM
NPI 1992034532 · on the registry since 2009
Practice
- Address
- 1001 Main St Ste 300
Peoria, IL 61606 - Phone
- (309) 495-0200
- Fax
- (309) 676-6545
- Organisation at this address
- Springfield Clinic Llp
Peoria Surgical Group, Ltd.
Peoria Pulmonary Associates, Ltd.
Central Illinois Endoscopy Center, Llc
Illinois Gastroenterology Institute, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Also registered as
- 363L00000X
367A00000X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-05
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