Dr Richard D. Corley, SC
Dr Richard D. Corley, SC is a Plastic Surgery Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
416 St Mark Ct #106Peoria, IL 61603-1928
Phone: (309) 674-2822
Fax: (309) 674-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 036-037-295 (IL) |
|---|
Record details
| NPI number | 1538498209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Corley — Direct Owner · (309) 674-2822 |
| NPI enumerated | December 9, 2009 |
| Last updated in NPPES | December 9, 2009 |
| Mailing address | 416 St. Mark Ct., 106, Peoria, IL 61603-1928 |
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