Marion Willemsen-reid, DO | |
2338 W Van Winkle Way Ste 2200, Peoria, IL 61615 | |
(309) 692-6088 | |
Not Available |
Full Name | Marion Willemsen-reid |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2338 W Van Winkle Way Ste 2200, 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 |
---|---|---|---|
1720029283 | NPI | - | NPPES |
050655 | Other | IL | HEALTH ALLIANCE |
IL01F4 | Other | IL | JOHN DEERE |
0360909453 | Medicaid | IL | |
472310 | Other | IL | HEALTHLINK |
7215059 | Other | IL | BCBS PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036090945 (Illinois) | Primary |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Mailing Address | Practice Location Address |
---|---|
Marion Willemsen-reid, DO 2338 W Van Winkle Way Ste 2200, Peoria, IL 61615-7484 Ph: (309) 692-6088 | Marion Willemsen-reid, DO 2338 W Van Winkle Way Ste 2200, Peoria, IL 61615 Ph: (309) 692-6088 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 |