| Krystal Darnell Perdue, NP | |
|
8940 N Wood Sage Rd, Peoria, IL 61615-7822 | |
| (309) 243-3000 | |
| Not Available |
| Full Name | Krystal Darnell Perdue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 8940 N Wood Sage 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 |
|---|---|---|---|
| 1205532041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209.026009 (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 | 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 | Illinois Gastroenterology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Darnell Perdue, NP 8940 N Wood Sage Rd, Peoria, IL 61615-7822 Ph: (309) 243-3000 | Krystal Darnell Perdue, NP 8940 N Wood Sage Rd, Peoria, IL 61615-7822 Ph: (309) 243-3000 |
Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818 | |
Faye Yetton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632 | |
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569 | |
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948 | |
Courtney Harley, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455 | |
Roxanne R Mclaughlin, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-308-5050 | |
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974 |