Courtney D Edsall (NPI# 1558830851, PAC ID# 6103161898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558830851 |
| PAC ID by PECOS | 6103161898 |
| Professional Enrollment ID | I20181228000479 |
| Full Name | Courtney D Edsall |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
112 Necrescent Ave Peoria IL 61606-1901 |
| Phone Number | 3096724670 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Necrescent Ave, Peoria, IL 61606-1901 | 3096724670 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 221 Ne Glen Oak, Peoria, IL 61636 | 3096725522 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
112 NECRESCENT AVE |
| City | PEORIA |
| State | IL |
| Zip | 61606-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Candice Y White | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Jodi Nutter | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Kelly Ann Adcock | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| M Teresa C Fraser | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Maria M Karbowskia Jankowska | Physical Medicine and Rehabilitation | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Gregory M Blume | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Melissa A Glass | Nurse Practitioner | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Vahid Tohidi | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Hrachya Nersesyan | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Christopher M Zallek | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Ruth A Arms | Certified Clinical Nurse Specialist (cns) | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Shanta D Mattai | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Julia Biernot | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Find all physicians in zip 61606 | |||
| City | PEORIA |
| Zip Code | 61606 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEORIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Courtney D Edsall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.