GEORGE GENTRY, MD, Diagnostic Radiology PEORIA, IL

Contact Information

GEORGE GENTRY, MD

5409 N KNOXVILLE AVE
PEORIA, IL 61615

Phone: 309-682-7750
Fax: 309-682-7786
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for GEORGE GENTRY · (Male)

NPI #	`1225016975`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	01/04/2006
Last updated	07/02/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	IL License # 036-080941 IL Medicaid 036080941-1 IL Other 1005156 ACR IL Other 0007222342 BLUE CROSS BLUE SHIELD IL Other 054573 HEALTH ALLIANCE IL Other 211015 HEALTHLINK IL Other IL0100 JOHN DEERE IL Other 300027879 RAILROAD MEDICARE IL Other 370947902 TRICARE CHAMPUS
Hospital affiliation(s)	GRAHAM HOSPITAL ASSOCIATION - (Acute Care) 210 WEST WALNUT STREET CANTON, IL 61520 KEWANEE HOSPITAL - (Critical Access) 1051 WEST SOUTH STREET KEWANEE, IL 61443 SAINT FRANCIS MEDICAL CENTER - (Acute Care) 530 NE GLEN OAK AVE PEORIA, IL 61637 SAINT JAMES HOSPITAL - (Acute Care) 2500 WEST REYNOLDS STREET PONTIAC, IL 61764 ST MARY MEDICAL CENTER - (Acute Care) 3333 NORTH SEMINARY GALESBURG, IL 61401

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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GEORGE GENTRY, MD – NPI #1225016975Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for GEORGE GENTRY · (Male)

Reviews for GEORGE GENTRY

GEORGE GENTRY, MD – NPI #1225016975
Diagnostic Radiology