Mr Heather L Dentino, APN | |
6708 N Knoxville Ave, Peoria, IL 61614-2862 | |
(309) 692-6838 | |
(309) 691-6858 |
Full Name | Mr Heather L Dentino |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 6708 N Knoxville Ave, 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 |
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1831898014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207VG0400X | Obstetrics & Gynecology - Gynecology | 209026831 (Illinois) | Primary |
Entity Name | Couri Center For Gynecology And Integrative Womens Health Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528368875 PECOS PAC ID: 4880878511 Enrollment ID: O20110405000301 |
Mailing Address | Practice Location Address |
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Mr Heather L Dentino, APN 6708 N Knoxville Ave, Peoria, IL 61614-2862 Ph: (309) 692-6838 | Mr Heather L Dentino, APN 6708 N Knoxville Ave, Peoria, IL 61614-2862 Ph: (309) 692-6838 |
Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722 | |
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144 | |
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163 | |
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000 | |
Mrs. Tamara L. Olt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614 Phone: 309-692-2805 Fax: 309-692-1913 | |
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739 | |
Rida W Boulos, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637 Phone: 309-655-3024 |