Dr Emily Marie Wichern, MD | |
6000 N Allen Rd, Peoria, IL 61614-3294 | |
(309) 691-1400 | |
Not Available |
Full Name | Dr Emily Marie Wichern |
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Gender | Female |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 6000 N Allen Rd, 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 |
---|---|---|---|
1588126015 | NPI | - | NPPES |
35.150494 | Other | OH | MEDICAL LICENSING BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036176343 (Illinois) | Secondary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 036176343 (Illinois) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
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Dr Emily Marie Wichern, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 | Dr Emily Marie Wichern, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 |
Dr. Brent C Johnson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Keith Thomas Corpus, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 | |
Dr. James R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Michael S Merkley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Thomas J Mulvey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Jerome P Kraft, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 400, Peoria, IL 61614 Phone: 309-692-6644 | |
John Paul Livingstone, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948 |