Lizabeth Wallace is a Peoria, Illinois based nurse practitioner with 22 years of experience in . She completed her graduation in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lizabeth Wallace is 0411285741-209004409 in Illinois. Her current practice location is 420 Ne Glen Oak Ave, Peoria. Patients can reach her at 309-655-2343 or can fax her at 309-655-3948 and her NPI number (Unique professional ID assigned by NPPES) is 1417019084. Lizabeth Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lizabeth Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8123121480
Enrollment ID:
I20090504000561
NPI Number:
1417019084
NPI Enumeration Date:
13 Dec, 2006
NPI Last Update On:
20 Apr, 2009
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lizabeth Wallace are as mentioned below.
License Number
Specialization
State
Status
0411285741-209004409
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lizabeth Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Osf Multi-specialty Group (3678889789)
1494
Other Medical Identifiers:
Other legacy medical identifiers associated with Lizabeth Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
207594001
Other
Illinois
MEDICARE INDIVIDUAL ID/K35369 DEACTIVATED
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lizabeth Wallace 420 Ne Glen Oak Ave, Peoria, Illinois
Zip:
61603-3105
Phone Number:
309-655-2343
Fax Number:
309-655-3948
Patients can reach Lizabeth Wallace at 420 Ne Glen Oak Ave, Peoria, Illinois or can call to book an appointment on 309-655-2343.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.