Provider Demographics
NPI:1841932993
Name:DOOLEY, EMILY KELLY (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KELLY
Last Name:DOOLEY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KELLY
Other - Last Name:PEFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3503
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61612-3503
Mailing Address - Country:US
Mailing Address - Phone:530-643-9104
Mailing Address - Fax:
Practice Address - Street 1:530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-2200
Practice Address - Country:US
Practice Address - Phone:309-655-2109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program