Wood River Urgent Care And Walk In Clinic Inc | |
211 Madison Ave Wood River IL 62095-2009 | |
(313) 948-3055 | |
Not Available |
Full Name | Wood River Urgent Care And Walk In Clinic Inc |
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Speciality | Family Medicine |
Location | 211 Madison Ave, Wood River, Illinois |
Authorized Official Name and Position | Nancy Molnar (BUSINESS OPERATIONS MANAGER) |
Authorized Official Contact | 3139483055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wood River Urgent Care And Walk In Clinic Inc 14671 Telegraph Rd Redford MI 48239-3300 Ph: (313) 948-3055 | Wood River Urgent Care And Walk In Clinic Inc 211 Madison Ave Wood River IL 62095-2009 Ph: (313) 948-3055 |
NPI Number | 1427717438 |
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Provider Enumeration Date | 12/17/2021 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 3173917788 |
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Medicare Enrollment ID | O20220224002310 |
Identifier | Type | State | Issuer |
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1427717438 | NPI | - | NPPES |
Provider Name | Julie A Benhoff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902130941 PECOS PAC ID: 3971641655 Enrollment ID: I20130204000160 |
Provider Name | Jacqueline Ann Bode |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245572213 PECOS PAC ID: 5597980094 Enrollment ID: I20140625000877 |
Provider Name | Blair Bone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518402064 PECOS PAC ID: 6507140837 Enrollment ID: I20170418002680 |
Provider Name | Lori Np Freeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912104043 PECOS PAC ID: 6901930841 Enrollment ID: I20180514001734 |
Provider Name | Mian Rizwan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437380276 PECOS PAC ID: 0042460412 Enrollment ID: I20180718001732 |
Provider Name | Tracie Leigh Placher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831757103 PECOS PAC ID: 4082943436 Enrollment ID: I20190910001454 |
Provider Name | Robin Marion Gunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578199980 PECOS PAC ID: 0547699084 Enrollment ID: I20200403000520 |
Provider Name | Mary C Zimmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871042648 PECOS PAC ID: 7810316148 Enrollment ID: I20201006000484 |
Provider Name | Kathryn F Mckenna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902416134 PECOS PAC ID: 3072926120 Enrollment ID: I20210108001182 |
Provider Name | Christy L Palmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699256644 PECOS PAC ID: 6608288469 Enrollment ID: I20210108002427 |
Provider Name | Amanda J Ben |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164049698 PECOS PAC ID: 2769897768 Enrollment ID: I20210510002596 |
Provider Name | Saundra E Winterrowd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659046266 PECOS PAC ID: 6204231418 Enrollment ID: I20210826002020 |
Provider Name | Sharonda A Coleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588324727 PECOS PAC ID: 2264824879 Enrollment ID: I20220120000081 |
Provider Name | Jenna Churnock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285917492 PECOS PAC ID: 2668867672 Enrollment ID: I20220309001958 |
Provider Name | David Le |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902566458 PECOS PAC ID: 7315332343 Enrollment ID: I20220309002843 |
Provider Name | Mechelle Lyles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609303411 PECOS PAC ID: 7315200847 Enrollment ID: I20220316001817 |
Provider Name | Megan Ashley Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174123509 PECOS PAC ID: 9234543802 Enrollment ID: I20220407000755 |
Provider Name | Denita Wilkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619361078 PECOS PAC ID: 0446659411 Enrollment ID: I20220408001059 |
Provider Name | Taylor Well |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528700325 PECOS PAC ID: 6608254867 Enrollment ID: I20220601000631 |
Provider Name | Kayla Craig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457977274 PECOS PAC ID: 9931587896 Enrollment ID: I20220606000204 |
Provider Name | Renee M Lindner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497424766 PECOS PAC ID: 5799166443 Enrollment ID: I20220713001316 |
Provider Name | Jennine M Beckmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649932559 PECOS PAC ID: 5991180267 Enrollment ID: I20220922002409 |
Provider Name | Emily C Klein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740934629 PECOS PAC ID: 7012393234 Enrollment ID: I20220926001463 |
Provider Name | Karley Christopher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881321651 PECOS PAC ID: 1759758550 Enrollment ID: I20221108002239 |
Provider Name | Marleen L Burns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770654493 PECOS PAC ID: 3870550544 Enrollment ID: I20221207002600 |
Provider Name | Anna Hendricks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255043964 PECOS PAC ID: 9032580865 Enrollment ID: I20230113001750 |
Provider Name | Tiffany Hosp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356037592 PECOS PAC ID: 2961867858 Enrollment ID: I20230427003069 |
Provider Name | Caitlynn Listello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942904156 PECOS PAC ID: 2860845625 Enrollment ID: I20240129000213 |