Willemsen-Reid, Marion

Willemsen-Reid, Marion is an individual health care provider with primary practice located at 2338 W Van Winkle Way Ste 2200 , Peoria IL 61615. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Willemsen-Reid, Marion can be contacted via phone (309) 692-6088.

Contact Information

Primary practice address
2338 W Van Winkle Way Ste 2200 Peoria IL 61615
Phone: (309) 692-6088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090945 Illinois

Profile Details

NPI number 1720029283
LBN Legal business name Willemsen-Reid, Marion
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720029283 NPPES
Illinois Other 050655 HEALTH ALLIANCE
Illinois Other IL01F4 HEALTH ALLIANCE
Illinois MEDICAID 0360909453 HEALTH ALLIANCE
Illinois Other 472310 HEALTH ALLIANCE
Illinois Other 7215059 HEALTH ALLIANCE

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