Mrs Lauren S Ponder, APN | |
6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | |
(309) 692-6838 | |
Not Available |
Full Name | Mrs Lauren S Ponder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 6708 N Knoxville Ave Ste 1, Peoria, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598390924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 209020864 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Couri Center For Gynecology And Integrative Womens Health Sc | 4880878511 | 9 |
Entity Name | Couri Center For Gynecology And Integrative Womens Health Sc |
---|---|
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 |
---|---|
Mrs Lauren S Ponder, APN 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 Ph: (309) 692-6838 | Mrs Lauren S Ponder, APN 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 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 |