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1164456463
NEIL KENT WISE
PEORIA, IL
NPI
1164456463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036050195)
Enumeration Date
2006-07-10
Last Update Date
2010-09-01
Business Address
Dr. NEIL KENT WISE MD
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Phone number: 309-691-4410
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Mailing Address
Dr. NEIL KENT WISE MD
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Phone number: 309-691-4410
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