Caitlyn Lee Burton-gowler, | |
1401 Eastland Dr, Bloomington, IL 61701-3552 | |
(309) 663-8311 | |
Not Available |
Full Name | Caitlyn Lee Burton-gowler |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1401 Eastland Dr, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184405193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209028749 (Illinois) | Primary |
Entity Name | Christie Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Mailing Address | Practice Location Address |
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Caitlyn Lee Burton-gowler, 723 W Jefferson St, Clinton, IL 61727-1943 Ph: (309) 261-4571 | Caitlyn Lee Burton-gowler, 1401 Eastland Dr, Bloomington, IL 61701-3552 Ph: (309) 663-8311 |
Theresa Kauth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Cheryl Hansen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411 | |
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Elizabeth Jeanne Robert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626 | |
Amy O'brien, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390 | |
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800 |