DR. CHRISTINA B NULTY


Address: 912 N Elmwood Ave, Peoria, IL 61625-0001
Phone: 3096772700

DR. CHRISTINA B NULTY (NPI# 1114142643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114142643
Entity Type Individual
Full Name DR. CHRISTINA B NULTY
Credential M.D.
Practice Address 912 N Elmwood Ave
Peoria
IL 61625-0001
Mailing Address 1116 Dieble Rd
Washington
IL 61571-9615
Practice Telephone 3096772700
Practice Fax Number 3096773534
Mailing Telephone 3096772700
Mailing Fax Number 3096773534
Enumeration Date 2007-04-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 912 N ELMWOOD AVE
City PEORIA
State IL
Zip Code 61625-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770709719 Janine E. Donahue Psychiatry & Neurology 912 N Elmwood Ave, Peoria, IL 61625-0001 2007-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013982487 Eric T Redman Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2006-02-21
1265908776 Eric Polomis Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2018-10-23
1518412725 Rebecca Elschlager Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2016-08-17
1447536537 Dustin Holley Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2011-11-02
1518122902 Andrew J Strubhar Physical Therapist 1501 W Bradley Ave, Bradley University, Peoria, IL 61625-0001 2008-07-24
1043496664 Megan Nixon Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2008-01-14
1215990189 Marcus Ohnemus Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2006-04-10
1629045067 Megan Stevenart Specialist/Technologist 1501 W Bradley Ave, Peoria, IL 61625-0001 2006-03-03

Providers in the same city

NPI Name Taxonomy Address Enumeration
1881295541 Britney Julia Durst Nurse Practitioner 5905 N Prospect Rd, Peoria, IL 61614-4311 2020-11-07
1538760525 Ayomikun Ajulo Technician 7426 W Cheryl Dr, Peoria, AZ 85345-6723 2020-11-05
1932700929 True Wellness Support Services Community/Behavioral Health 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 2020-11-05
1386245397 Lynsey Perera Pharmacist 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 2020-11-05
1942801071 Kathrine Sunstedt Nurse Practitioner 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 2020-11-04
1235730508 Gheorghe Patrutescu Assisted Living Facility 16134 N 72nd Ln, Peoria, AZ 85382-4937 2020-11-03
1366042988 Nicole Elizabeth Steen Registered Nurse 21751 N 86th Ln, Peoria, AZ 85382-2497 2020-11-01
1699375683 Christopher Wayne Sharp Pharmacist 8062 W Eva St, Peoria, AZ 85345-7197 2020-10-28
1487254629 Bernadette Bruha Counselor 10028 W Redbird Rd, Peoria, AZ 85383-3368 2020-10-27
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447446257 Farah Tazeen Internal Medicine 1 S 161 Summit Ave., Oak Brook Terrace, IL 60181-3904 2007-09-15
1679665020 Lynessa A Alonso Internal Medicine 10 Saint Clare Ct, Washington, IL 61571-9239 2006-09-29
1447273859 Samir Shah M.d.s.c Internal Medicine 3560 W 95th St, Evergreen Park, IL 60805-2107 2006-07-26
1194248914 Mohamed Ihtesham Shaji Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2017-07-24
1679969182 Greg D Ewert Md Sc Internal Medicine 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 2015-04-10
1437599867 Shakuntala Sachin Patil Internal Medicine 611 W Park St, Carle Forum Ll, Urbana, IL 61801-2500 2013-06-29
1487993911 Eilis Ryan Internal Medicine 6500 W 65th St, Chicago, IL 60638-4962 2013-02-04
1831496322 Capital Health Inc Internal Medicine 7107 W Belmont Ave, Suite 8, Chicago, IL 60634-4688 2011-02-17
1356507834 Woodridgeclinic S.c Internal Medicine 805 S Main St, Lombard, IL 60148-3300 2008-08-04
1043338189 Sarah Bush Lincoln Health Center Internal Medicine 200 Richmond Ave E, Mattoon, IL 61938-4652 2007-03-27
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Competitor

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City PEORIA
Zip Code 61625

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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