IndividualActive
Jan Namyslowski, M.D.
NPI 1992755870 · Vascular & Interventional Radiology Physician · Peoria, IL
Provider details
- NPI number
- 1992755870
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036115167 (IL)
Practice location
114 W Stratford Dr Ste E
Peoria, IL 61614-7300
Phone: (309) 740-4272
Fax: (309) 740-7479
Mailing address
114 W Stratford Dr Ste E
Peoria, IL 61614-7300
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.