Amber Marian Breitzman, APN | |
1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | |
(309) 685-4411 | |
Not Available |
Full Name | Amber Marian Breitzman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1120 E War Memorial Dr, Peoria Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275057408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277003086 (Illinois) | Primary |
Entity Name | Methodist Medical Center Of Illinois |
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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 |
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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 | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Amber Marian Breitzman, APN 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-4411 | Amber Marian Breitzman, APN 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-4411 |
Lisa Friebohle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 Fax: 309-685-3648 | |
Kevin Spangler, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 |