| Kayla Marie Freeburg, APN, PNP-PC | |
|
10 Saint Clare Ct, Washington, IL 61571-9239 | |
| (309) 624-2277 | |
| Not Available |
| Full Name | Kayla Marie Freeburg |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 10 Saint Clare Ct, Washington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861117871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 209.026056 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Marie Freeburg, APN, PNP-PC 109 Lakewood Ave, East Peoria, IL 61611-4556 Ph: (309) 336-1994 | Kayla Marie Freeburg, APN, PNP-PC 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 624-2277 |
Jon Byler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4101 | |
Shelly Shallat, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Scott Carlson, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4003 Fax: 309-886-4116 | |
Sarah Anderson Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |