| 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  | |
Mrs. Sandra Susan Cross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 W Detweiller Dr Ste 810, Peoria, IL 61615 Phone: 309-264-9517  | |
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  |