| Ms Gayle Fengel, RDN, LDN | |
|
7013 N Draycott Pl, Peoria, IL 61615-9295 | |
| (309) 248-0594 | |
| Not Available |
| Full Name | Ms Gayle Fengel |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 7013 N Draycott Pl, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639405160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164002804 (Illinois) | Primary |
| Provider Name | Renalcare Associates, S.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
| Provider Name | Evergreen Nephrology Of The Midwest, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801597869 PECOS PAC ID: 3476914961 Enrollment ID: O20230731003747 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gayle Fengel, RDN, LDN 7013 N Draycott Pl, Peoria, IL 61615-9295 Ph: (309) 248-0594 | Ms Gayle Fengel, RDN, LDN 7013 N Draycott Pl, Peoria, IL 61615-9295 Ph: (309) 248-0594 |
Mrs. Crystal Ann Casper, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7610 N Orange Prarie Road, Peoria, IL 61615 Phone: 309-589-1001 | |
The Fresh Beet Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1609 W Moss Ave, Peoria, IL 61606 Phone: 843-410-8233 | |
Mrs. Patrice Jeanne Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5409 N. Knoxville Ave., Proctor Hospital, Peoria, IL 61614 Phone: 309-691-1056 Fax: 309-689-6010 | |
Karen Ann Hutton, RD, LDN, MA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4957 Fax: 309-672-4953 | |
Mrs. Allyson Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3341 W Pilgrims Way, Peoria, IL 61615 Phone: 815-685-1563 | |
Ashley Simper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2054 Fax: 309-655-4022 | |
Norma A. Wiser, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-683-5865 Fax: 309-655-7869 |