DR. George Kenneth Shotick JR., M.D.

NPI #1104941657 in Peoria, Illinois

Provider Information

NPI Number: 1104941657
Entity Type: Individual
Name: DR. George Kenneth Shotick JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 20, 2007
Last Updated: Feb 15, 2016

Practice Location

Address: 228 NE JEFFERSON AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3802
Phone: (309) 671-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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