MS. MICHELLE L WHITELOW


Address: 711 W John Gwynn Jr. Avenue, Peoria, IL 61605
Phone: 3096807600

MS. MICHELLE L WHITELOW (NPI# 1932479664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932479664
Entity Type Individual
Full Name MS. MICHELLE L WHITELOW
Credential NURSE PRACTITIONER
Practice Address 711 W John Gwynn Jr. Avenue
Peoria
IL 61605
Mailing Address 2214 N University St
Peoria
IL 61604-3221
Practice Telephone 3096807600
Practice Fax Number 3096712188
Mailing Telephone 3096807660
Mailing Fax Number 3096818443
Enumeration Date 2012-01-11
Last Update Date 2016-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209-009324 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 711 W JOHN GWYNN JR. AVENUE
City PEORIA
State IL
Zip Code 61605

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1386131878 Nicholas Anthony Helling Physical Therapist 518 W Romero B Garret Ave, Poeria, IL 61605 2018-04-19
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1982852877 Jason M Anane-sefah Orthopaedic Surgery 303 North Kumpf Boulevard, Peoria, IL 61605 2008-09-04
1902098908 Calvary Elderly Home Help Program Home Health 1709 W Lincoln Ave, Peoria, IL 61605 2007-08-14
1023104437 Thomas Anderson Optometrist 710 W Third Avenue, Peoria, IL 61605 2006-10-04
1841382298 Devashish Agarwal Family Medicine 1701 W. Garden Street, Peoria, IL 61605 2006-09-29
1497763197 Larry T Rolle Pharmacist 411 Martin Luther King Dr., Peoria, IL 61605 2006-08-04
1568404762 Joseph P Kelly Iv Physical Therapist 303 N. Kumpf Blvd, Peoria, IL 61605 2006-06-12
1003861634 Patrick William Elwood Neurological Surgery 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 2006-05-23
1639148356 William G Nulty Pediatrics One Illini Dr, Medical Service Plan, Peoria, IL 61605 2006-03-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295541 Britney Julia Durst Nurse Practitioner 5905 N Prospect Rd, Peoria, IL 61614-4311 2020-11-07
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1699390039 Steven Joel Schlink Nurse Practitioner 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 2020-06-11
1457986929 Chanelle Christine Maclin Nurse Practitioner 504 E Kansas St, Peoria, IL 61603-2554 2020-03-05
1225677495 Michelle Chacon Nurse Practitioner 23201 N 87th Dr, Peoria, AZ 85383-1860 2020-01-05
1689218042 Patricia Nwakaego Ayemoba Nurse Practitioner 16018 N 74th Dr, Peoria, AZ 85382-1810 2019-10-29
1144877267 Eunice Wright Nurse Practitioner 26826 N 85th Dr, Peoria, AZ 85383-3624 2019-08-22
1861057507 Shawnee Renee Fudurich Nurse Practitioner 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255 2019-05-08
1265096895 Razel Espiritu Hernandez Nurse Practitioner 25435 N 115th Ave, Peoria, AZ 85383-9789 2019-04-29
1619435310 Jennifer Gayle Ries-clark Nurse Practitioner 8009 W Salter Dr, Peoria, AZ 85382-4440 2019-03-12
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Competitor

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City PEORIA
Zip Code 61605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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