Diedra Restoff, is a
Registered Nurse based in Tamaroa, Illinois. Diedra Restoff is licensed to practice in Illinois (license number 041.297354) and her current practice location is
5906 Bluejay Rd, Tamaroa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 534-5815.
NPI number for Diedra Restoff is 1295680387 and her current mailing address is 5906 Bluejay Rd, Tamaroa, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295680387.
Provider's Profile
| Full Name | Diedra Restoff |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 5906 Bluejay Rd, Tamaroa, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295680387
- Provider Enumeration Date: 03/03/2026
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Diedra Restoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295680387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041.297354 (Illinois) | Primary |
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. Diedra Restoff 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 |
Diedra Restoff, 5906 Bluejay Rd, Tamaroa, IL 62888-3020 Ph: () - | Diedra Restoff, 5906 Bluejay Rd, Tamaroa, IL 62888-3020 Ph: (618) 534-5815 |
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