Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA JOY STORM, MD
ActiveAUDRA JOY STORM, MD is a Family Medicine healthcare provider located in PEORIA, Illinois. NPI 1730767419 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1730767419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2021 (5.3688753366792 yrs)
- Last Updated
- Oct 14, 2024
- Licenses
-
9173 (WI)77357 (WI)036171644 (IL)
Practice Information
- Address
-
6339 N BIG HOLLOW RDPEORIA, IL, 616152907Browse IL providers · Browse ZIP 61615
- Phone
- 3096933315
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CARL GREGORY | M.D. | 1871599522 |
| SARAH R KOSCICA | MD | 1003814625 |
| DR. ROBERT ALLAN LIZER | D.O. | 1184624280 |
| DR. TIMOTHY M LAHOOD | M.D. | 1245223130 |
| DR. AARON TAYLOR BOYER | M.D. | 1104811058 |
| DR. JEFFREY K KETCHAM | MD | 1245229368 |
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.