Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON CHRISTINE BROUGHER, MD
Active Sole ProprietorSHANNON CHRISTINE BROUGHER, MD is a Internal Medicine healthcare provider located in PEORIA, Illinois. NPI 1689168809 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1689168809
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2018 (8.1658584220299 yrs)
- Last Updated
- Jun 20, 2018
- Licenses
-
125.072852 (IL)125.072852 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370001Browse IL providers · Browse ZIP 61637
- Phone
- 3096553863
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| JAMES W BAUER | M.D. | 1912901711 |
| DEAN A GRAVLIN | M.D. | 1053315861 |
| DR. EDWARD A RUFUS JR | MD | 1871597450 |
| WAQAS ALI | MD | 1023094190 |
| SAMIR SAXENA | MD | 1902883648 |
| MEENAKSHY AIYER | MD | 1346213170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.