Lifeplus Md is a
General Practice based in Peoria, Illinois. Lifeplus Md is licensed to practice in Illinois (license number 036-079920) and their current practice location is
6811 N Knoxville Ave, Ste A, Peoria, Illinois. It can be reached at their office (for appointments etc.) via phone at
(309) 740-3744.
NPI number for Lifeplus Md is 1689079238 and their current mailing address is 6811 N Knoxville Ave, Ste A, Peoria, Illinois. Lifeplus Md
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689079238.
Healthcare Provider's Profile
| Full Name | Lifeplus Md |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 6811 N Knoxville Ave, Peoria, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689079238
- Provider Enumeration Date: 10/24/2014
- Last Update Date: 10/24/2014
Medical Identifiers
Medical identifiers for Lifeplus Md such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689079238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 038-007890 (Illinois) | Secondary |
| 208D00000X | General Practice | 036-079920 (Illinois) | Primary |
| 208D00000X | General Practice | 036-114669 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lifeplus Md is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lifeplus Md 6811 N Knoxville Ave, Ste A, Peoria, IL 61614-2861 Ph: (309) 740-3744 | Lifeplus Md 6811 N Knoxville Ave, Ste A, Peoria, IL 61614-2861 Ph: (309) 740-3744 |
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