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Contact Information

MARY M KEIL, PhD
411 DR. MARTIN LUTHER KING JR. DRIVE
PEORIA, IL61605
 Phone: 309-497-0790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY M KEIL · (Female)

NPI # 1174534614
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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