Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036.145922 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036.145922 | IL |
NPI | 1063655629 |
---|---|
Provider Name | Dr. Elizabeth K Plocher |
First Address | Peoria, IL 61605-2507 |
Second Address | Bloomington, IL 61704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 09/12/2019 |