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1104941657
GEORGE KENNETH SHOTICK
PEORIA, IL
NPI
1104941657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-059533)
Enumeration Date
2007-03-20
Last Update Date
2016-02-15
Business Address
Dr. GEORGE KENNETH SHOTICK M.D.
228 NE JEFFERSON AVE
PEORIA, IL 61603-3802
Phone number: 309-671-8000
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Mailing Address
Dr. GEORGE KENNETH SHOTICK M.D.
228 NE JEFFERSON AVE
PEORIA, IL 61603-3802
Phone number: 309-671-8000
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