Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Phillip Gaudio, MD

Individual provider Emergency Medicine Physician · NPI 1053514414

Dr. Mark Phillip Gaudio, MD is an Emergency Medicine Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-121441 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125-051037 (IL)

Record details

NPI number1053514414
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021
Mailing address104 Wildflower Ave, Metamora, IL 61548-8656

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