DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JEAN B VAHEY M.D.

MEDICARE: DR. JEAN B VAHEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician036048216IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407843055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN B VAHEY M.D.
Provider Business Mailing Address
First Line : 4927 N GLEN PARK PLACE RD
Second Line :
City : PEORIA
State : IL
Zip : 61614-4676
Country : US
Telephone Number : 309-308-3500
Fax Number :
Provider Business Practice Location Address
First Line : 4927 N GLEN PARK PLACE RD
Second Line :
City : PEORIA
State : IL
Zip : 61614-4676
Country : US
Telephone Number : 309-308-3500
Fax Number : 309-623-4365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 05/06/2025

Similar Medicare Providers

1700744505 — VALERIE BUNN
Practice Location Address:
4921 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 866-727-8274
Practice Fax:
1770441487 — AMBER STEELE
Practice Location Address:
4921 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 866-727-8274
Practice Fax:
1487511200 — MCKENZIE BERRARD
Practice Location Address:
4921 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 866-727-8274
Practice Fax:
1740147578 — EMMA SCHREPFER
Practice Location Address:
4921 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 866-727-8274
Practice Fax:
1134086960 — TA'NIYZIA VERSER
Practice Location Address:
4921 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 866-727-8274
Practice Fax:
1417923517 — DR. JOHN E LOMAX M.D.
Practice Location Address:
4909 N GLEN PARK PLACE RD
PEORIA, IL
61614-4676
Practice Phone: 309-674-7546
Practice Fax:

Directions to “ DR. JEAN B VAHEY M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.