Willi, Martha Joanne
Willi, Martha Joanne is an sole proprietor health care provider with primary practice located at 1216 N Maplewood Ave , Peoria IL 61606-1038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Willi, Martha Joanne can be contacted via phone (309) 674-4500.Contact Information
Primary practice address
1216 N Maplewood Ave
Peoria IL 61606-1038
Phone: (309) 674-4500
Fax: (309) 674-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0306042307 | Illinois |
Profile Details
| NPI number | 1558349001 |
|---|---|
| LBN Legal business name | Willi, Martha Joanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Nov 9th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558349001 | NPPES |
| Illinois | MEDICAID | 0306042037 |
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