David Tennant
David Tennant is a Family Practice in Peoria, Illinois. Qualified in 2013, 13 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 13
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
5409 N Knoxville AvePeoria, IL 61614
Phone: (309) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036144079 (IL) |
|---|
Record details
| NPI number | 1114345584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2014 |
| Last updated in NPPES | May 17, 2018 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Carle Health Care Incorporated — 1543 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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