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

Mandie Geneil Prior, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518696780

Mandie Geneil Prior, DO is a Pediatric Medicine in Peoria, Illinois. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2022, 4 years ago. Licensed in Illinois.

Years since qualifying
4
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036174739 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518696780
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2022
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address1104 E Richwoods Blvd, Peoria, IL 61603-1418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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