Yvonne J Wilson, MD is a
Family Medicine physician based in East Peoria, Illinois. Yvonne J Wilson is licensed to practice in Illinois (license number 036114805) and her current practice location is 2535 E Washington St, East Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 694-6464.
NPI number for Yvonne J Wilson is 1568408698 and her current mailing address is 1120 E War Memorial Dr, Peoria Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568408698.
Physician's Profile
Full Name | Yvonne J Wilson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 2535 E Washington St, East Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568408698
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/20/2010
Medical Identifiers
Medical identifiers for Yvonne J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568408698 | NPI | - | NPPES |
036114805 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036114805 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yvonne J Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yvonne J Wilson, MD 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-0100 | Yvonne J Wilson, MD 2535 E Washington St, East Peoria, IL 61611-1863 Ph: (309) 694-6464 |
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