Tammy Burtch, | |
900 Main St Ste 400, Peoria, IL 61602-1060 | |
(309) 672-3100 | |
Not Available |
Full Name | Tammy Burtch |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 900 Main St Ste 400, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245748920 | NPI | - | NPPES |
149018568 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149018568 (Illinois) | Primary |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
Entity Name | Phoenix Wellness, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538608690 PECOS PAC ID: 4183997679 Enrollment ID: O20170905002415 |
Mailing Address | Practice Location Address |
---|---|
Tammy Burtch, 900 Main St Ste 400, Peoria, IL 61602-1060 Ph: (309) 672-3100 | Tammy Burtch, 900 Main St Ste 400, Peoria, IL 61602-1060 Ph: (309) 672-3100 |
Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289 | |
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752 | |
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800 | |
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021 | |
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563 | |
Gina Dunphy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2906 W Greenbrier Ln, Peoria, IL 61614 Phone: 309-712-5909 |