person
Patrick L Wyffels, MD
Specialist in Peoria, Illinois
NPI 1588726608

Patrick L Wyffels is a Specialist based in Peoria, IL. Patrick L Wyffels practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Patrick L Wyffels is 1588726608 and holds a License No. 036063794 (Illinois).

The current practice location address for Patrick L Wyffels is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-589-0600 and via fax at 309-589-0602.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
person
Provider Profile Details
NPI Number
1588726608
Provider Name
Patrick L Wyffels
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-589-0600
Fax Number
309-589-0602
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07200634 01 IL BLUECROSS BLUESHIELD
036063794 05 IL
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
State
Zip
61614-5098
Phone Number
309-589-0600
Fax Number
309-589-0602
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
State
Zip
61614-5098
Phone Number
309-589-0600
Fax Number
309-589-0602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036063794 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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