Mcdougall, Tonya K

Mcdougall, Tonya K is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Ste 401 , Peoria IL 61603-3168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcdougall, Tonya K can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Ste 401 Peoria IL 61603-3168
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209001236 Illinois

Profile Details

NPI number 1700917119
LBN Legal business name Mcdougall, Tonya K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700917119 NPPES
Illinois Other P00092881 RAILROAD MEDICARE

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