Amy Lynn Smith, APN | |
925 West St, Peru, IL 61354-2757 | |
(815) 223-3300 | |
Not Available |
Full Name | Amy Lynn Smith |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 925 West St, Peru, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619435252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.018888 (Illinois) | Primary |
Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Epss North Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194282707 PECOS PAC ID: 0345582474 Enrollment ID: O20190422000388 |
Mailing Address | Practice Location Address |
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Amy Lynn Smith, APN 28 N 42nd Rd, Mendota, IL 61342-9653 Ph: (815) 228-1351 | Amy Lynn Smith, APN 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 |
Tiffany Ann Shinnick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-220-2645 | |
Shannon Lynn Whitley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |