MARY EVA SPINNER


Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001
Phone: 3096554940

MARY EVA SPINNER (NPI# 1003443425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003443425
Entity Type Individual
Full Name MARY EVA SPINNER
Other Name MARY EVA CLARK
Credential MD
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Mailing Address 2802 Willowpark Dr
Champaign
IL 61821-4634
Practice Telephone 3096554940
Mailing Telephone 3175547232
Enumeration Date 2020-03-25
Last Update Date 2020-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346235777 Jack Michael Gibson Obstetrics & Gynecology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-09-12
1053912188 Janie Clary Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-11-04
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1033726831 Corry Lynn Rediger Occupational Therapist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-25
1720694094 Katelynn M Madden Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-21
1568074474 Amanda Diane Beoletto Pharmacist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-08-21
1881212892 Mohammad Mousbah Al-tabbaa Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1750909693 Mohammad Gareeb Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1376160846 Bassel Elia Abouzeid Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637 2020-07-01
1700403516 Christina Marie Spurgeon Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1366673436 Joseph William Hauter Emergency Medicine 830 Ne Glen Oak Ave, Peoria, IL 61637 2009-08-06
1437380748 Jeremy R Monroe Emergency Medicine 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 2009-08-04
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
Find all providers in zip 61637

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821609751 Amanda Ferreira Student in an Organized Health Care Education/Training Program 7421 W Shangri La Rd, Peoria, AZ 85345-5811 2020-08-13
1699396838 Ashif Khaled Molla Student in an Organized Health Care Education/Training Program Osf St Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-04-28
1437779063 Mena Henien Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave Bldg 5676, Peoria, IL 61637-0001 2020-04-23
1306465893 Sarath Kumar Jaganathan Jaishankar Student in an Organized Health Care Education/Training Program 530 Ne Glenn Oak Avenue, Peoria, IL 61637-0001 2020-04-14
1952920522 Phu Si Huynh Student in an Organized Health Care Education/Training Program 331 Fulton St Apt 302, Peoria, IL 61602-1436 2020-04-13
1730736604 Gabriela C Isenia Student in an Organized Health Care Education/Training Program 9031 W Tonopah Dr, Peoria, AZ 85382-6445 2019-08-24
1831751643 Noreen Khan Student in an Organized Health Care Education/Training Program 1501 W Coneflower Dr Apt 2212, Peoria, IL 61615-7465 2019-07-01
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61637

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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