Dr Anjeli Stevens, DO | |
1800 N Knoxville Ave Ste C, Peoria, IL 61603-3005 | |
(309) 624-9680 | |
Not Available |
Full Name | Dr Anjeli Stevens |
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Gender | Female |
Speciality | Pediatrics |
Location | 1800 N Knoxville Ave Ste C, 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 |
---|---|---|---|
1659802908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1659802908 (Illinois) | Secondary |
208000000X | Pediatrics | 5101025532 (Michigan) | Secondary |
208000000X | Pediatrics | 036165816 (Illinois) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
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Dr Anjeli Stevens, DO 1800 N Knoxville Ave Ste C, Peoria, IL 61603-3005 Ph: (309) 624-9680 | Dr Anjeli Stevens, DO 1800 N Knoxville Ave Ste C, Peoria, IL 61603-3005 Ph: (309) 624-9680 |
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 |