IndividualActive
Daniel Mulconrey, MD
NPI 1710914064 · Orthopaedic Surgery of the Spine Physician · Peoria, IL
Provider details
- NPI number
- 1710914064
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036118429 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 689-7081
Approximate (ZIP-level) locationGet directions
Mailing address
6000 N Allen Rd
Peoria, IL 61614-3294
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.