| Wood River Urgent Care And Walk In Clinic Inc | |
|
211 Madison Ave Wood River IL 62095-2009 | |
| (313) 948-3055 | |
| Not Available |
| Full Name | Wood River Urgent Care And Walk In Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 Madison Ave, Wood River, Illinois |
| Authorized Official Name and Position | Nancy Molnar (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 3139483055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood River Urgent Care And Walk In Clinic Inc 14671 Telegraph Rd Redford MI 48239-3300 Ph: (313) 948-3055 | Wood River Urgent Care And Walk In Clinic Inc 211 Madison Ave Wood River IL 62095-2009 Ph: (313) 948-3055 |
| NPI Number | 1427717438 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 3173917788 |
|---|---|
| Medicare Enrollment ID | O20220224002310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427717438 | NPI | - | NPPES |
| Provider Name | Julie Benhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902130941 PECOS PAC ID: 3971641655 Enrollment ID: I20130204000160 |
| Provider Name | Jacqueline Ann Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245572213 PECOS PAC ID: 5597980094 Enrollment ID: I20140625000877 |
| Provider Name | Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521109 PECOS PAC ID: 7315235538 Enrollment ID: I20161004000956 |
| Provider Name | Jessica E Henke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201057 PECOS PAC ID: 5193013191 Enrollment ID: I20161006001325 |
| Provider Name | Blair Bone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518402064 PECOS PAC ID: 6507140837 Enrollment ID: I20170418002680 |
| Provider Name | Kelly A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619123353 PECOS PAC ID: 4284992025 Enrollment ID: I20171227001341 |
| Provider Name | Lori Np Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912104043 PECOS PAC ID: 6901930841 Enrollment ID: I20180514001734 |
| Provider Name | Mian Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437380276 PECOS PAC ID: 0042460412 Enrollment ID: I20180718001732 |
| Provider Name | Tracie Leigh Placher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757103 PECOS PAC ID: 4082943436 Enrollment ID: I20190910001454 |
| Provider Name | Robin Marion Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578199980 PECOS PAC ID: 0547699084 Enrollment ID: I20200403000520 |
| Provider Name | Mary C Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042648 PECOS PAC ID: 7810316148 Enrollment ID: I20201006000484 |
| Provider Name | Kathryn F Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416134 PECOS PAC ID: 3072926120 Enrollment ID: I20210108001182 |
| Provider Name | Christy L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256644 PECOS PAC ID: 6608288469 Enrollment ID: I20210108002427 |
| Provider Name | Amanda J Ben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049698 PECOS PAC ID: 2769897768 Enrollment ID: I20210510002596 |
| Provider Name | Saundra E Winterrowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046266 PECOS PAC ID: 6204231418 Enrollment ID: I20210826002020 |
| Provider Name | Sharonda A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588324727 PECOS PAC ID: 2264824879 Enrollment ID: I20220120000081 |
| Provider Name | Jenna Churnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917492 PECOS PAC ID: 2668867672 Enrollment ID: I20220309001958 |
| Provider Name | David Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902566458 PECOS PAC ID: 7315332343 Enrollment ID: I20220309002843 |
| Provider Name | Denita Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619361078 PECOS PAC ID: 0446659411 Enrollment ID: I20220408001059 |
| Provider Name | Taylor Well |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700325 PECOS PAC ID: 6608254867 Enrollment ID: I20220601000631 |
| Provider Name | Kayla Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457977274 PECOS PAC ID: 9931587896 Enrollment ID: I20220606000204 |
| Provider Name | Renee M Lindner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424766 PECOS PAC ID: 5799166443 Enrollment ID: I20220713001316 |
| Provider Name | Jennine M Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932559 PECOS PAC ID: 5991180267 Enrollment ID: I20220922002409 |
| Provider Name | Emily C Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740934629 PECOS PAC ID: 7012393234 Enrollment ID: I20220926001463 |
| Provider Name | Karley Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321651 PECOS PAC ID: 1759758550 Enrollment ID: I20221108002239 |
| Provider Name | Anna Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255043964 PECOS PAC ID: 9032580865 Enrollment ID: I20230113001750 |
| Provider Name | Tiffany Hosp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037592 PECOS PAC ID: 2961867858 Enrollment ID: I20230427003069 |
| Provider Name | Alishia Jacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851179675 PECOS PAC ID: 7315384443 Enrollment ID: I20240325001262 |
| Provider Name | Kaitlyn Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225461668 PECOS PAC ID: 2668911652 Enrollment ID: I20240821004923 |
| Provider Name | Kristen Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669209904 PECOS PAC ID: 6103357520 Enrollment ID: I20241009000937 |
| Provider Name | Monica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306670344 PECOS PAC ID: 7618404591 Enrollment ID: I20241217003458 |
| Provider Name | Lori Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492907 PECOS PAC ID: 3274808704 Enrollment ID: I20250218000314 |
| Provider Name | Joanne N Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053844290 PECOS PAC ID: 5799118774 Enrollment ID: I20250411000963 |