| |
4300 N Brandywine Dr, Peoria, IL 61614-5550 | |
(309) 692-0123 | |
(309) 692-0184 |
Full Name | |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 4300 N Brandywine Dr, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083738280 | NPI | - | NPPES |
Provider Name | Rebecca A Knight |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437261047 PECOS PAC ID: 7113918103 Enrollment ID: I20041209000236 |
Mailing Address | Practice Location Address |
---|---|
4300 N Brandywine Dr, Peoria, IL 61614-5550 Ph: (309) 692-0123 | 4300 N Brandywine Dr, Peoria, IL 61614-5550 Ph: (309) 692-0123 |