Ltrice Trinette Gulley, APN | |
1300 Franklin Ave Ste 230c, Normal, IL 61761-3709 | |
(309) 585-6029 | |
Not Available |
Full Name | Ltrice Trinette Gulley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1300 Franklin Ave Ste 230c, Normal, 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 |
---|---|---|---|
1922660174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209018718 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Entity Name | Metro Infectious Disease Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20031103000274 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Mailing Address | Practice Location Address |
---|---|
Ltrice Trinette Gulley, APN 901 Mcclintock Dr Ste 202, Burr Ridge, IL 60527-0872 Ph: (630) 655-6748 | Ltrice Trinette Gulley, APN 1300 Franklin Ave Ste 230c, Normal, IL 61761-3709 Ph: (309) 585-6029 |
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