Marcus Ismedhi Mutidjo
APN | Nurse Practitioner - Family
1701 W Garden St, Peoria
Illinois, 61605
309-680-7600
Marcus Ismedhi Mutidjo is a Peoria, Illinois based nurse practitioner who is specialized as Family nurse. Active license number of Marcus Ismedhi Mutidjo is 209016806 for Family in Illinois. His current practice location is 1701 W Garden St, Peoria. Patients can reach him at 309-680-7600 or can fax him at 309-680-7686. Marcus Ismedhi Mutidjo is APN with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1063825446.
Marcus Ismedhi Mutidjo delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Marcus Ismedhi Mutidjo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marcus Ismedhi Mutidjo |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | APN |
| Practice Address: | 1701 W Garden St, Peoria,
Illinois, 61605 |
| Phone: | 309-680-7600 |
| Fax: | 309-680-7686 |
Professional Identification Codes:
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.
| NPI Number: | 1063825446 |
| NPI Enumeration Date: | 03 Jun, 2014 |
| NPI Last Update On: | 14 Jan, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marcus Ismedhi Mutidjo are as mentioned below.
| License Number | Specialization | State | Status | |
| 209016806 | Family | Illinois | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marcus Ismedhi Mutidjo
2214 N University St,
Peoria, Illinois |
| Zip: | 61604-3221 |
| Phone Number: | 309-680-7669 |
| Fax Number: | 309-681-8443 |
Patients can reach Marcus Ismedhi Mutidjo at
1701 W Garden St, Peoria, Illinois or can
call to book an appointment on 309-680-7600.
Comments/ Reviews:
Patients can read all the reviews posted for Marcus Ismedhi Mutidjo below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Marcus Ismedhi Mutidjo. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.