Penelope A Ewbank (NPI# 1558358911, PAC ID# 8123121639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1558358911 |
| PAC ID by PECOS | 8123121639 |
| Professional Enrollment ID | I20110303000077 |
| Full Name | Penelope A Ewbank |
| Organization Legal Name | ALLERGY AND ASTHMA OF ILLINOIS SC |
| Address |
6615 N Big Hollow Rd Suite 1 Peoria IL 61615-2451 |
| Phone Number | 3096915200 |
| Gender | F |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 5597868000 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6615 N Big Hollow Rd, Suite 1, Peoria, IL 61615-2451 | 3096915200 | ALLERGY AND ASTHMA OF ILLINOIS SC |
| Organization Legal Name | ALLERGY AND ASTHMA OF ILLINOIS SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Smart | Allergy/immunology | Allergy and Asthma of Illinois Sc | 6615 N Big Hollow Rd, Suite 1, Peoria, IL 61615-2451 |
| Street Address |
6615 N BIG HOLLOW RD SUITE 1 |
| City | PEORIA |
| State | IL |
| Zip | 61615-2451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Allen Hamon | Psychologist, Clinical | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Barbara Toohill | Psychologist, Clinical | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Stephen J Smart | Allergy/immunology | Allergy and Asthma of Illinois Sc | 6615 N Big Hollow Rd, Suite 1, Peoria, IL 61615-2451 |
| Patricia J Edwards | Clinical Social Worker | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Emma K Bucher | Psychologist, Clinical | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Abby L Mitchell | Clinical Social Worker | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Rudolf Gustav Breitmeyer | Clinical Psychologist | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Suzanne P Jost | Clinical Social Worker | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Timothy C Chu | Clinical Social Worker | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Diana K Anderson | Clinical Social Worker | The Antioch Group Inc | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Jeffrey Y Liang | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 10322 N Juliet Ct, Peoria, IL 61615-1199 |
| Matthew Carr | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Abby G Freckleton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Susannah Dintzis | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Michael J Pace | Family Practice | Methodist Medical Center of Illinois | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Amanda Miriam Kilgore | Physical Therapy | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Michael Dominic Tarantino | Hematology/oncology | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | |
| Rohith Jesudas | Pediatric Medicine | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Elizabeth A Lepper | Nurse Practitioner | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Find all physicians in zip 61615 | |||
| City | PEORIA |
| Zip Code | 61615 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | PEORIA + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Penelope A Ewbank.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.