IndividualActive
Abigail Mahoney, DPM
NPI 1710996103 · Foot & Ankle Surgery Podiatrist · Peoria, IL
Provider details
- NPI number
- 1710996103
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 016005175 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
5017 N Glen Park Place Rd
Peoria, IL 61614-4677
Phone: (309) 691-1589
Fax: (309) 692-2032
Approximate (ZIP-level) locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5068
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2016-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.