Winek, Sally

Winek, Sally is an individual health care provider with primary practice located at 507 E Armstrong Ave Regional Development Center, Peoria IL 61603-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Winek, Sally can be contacted via phone (309) 681-6960.

Contact Information

Primary practice address
507 E Armstrong Ave Regional Development Center Peoria IL 61603-3201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036077743 Illinois

Profile Details

NPI number 1245209097
LBN Legal business name Winek, Sally
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jan 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245209097 NPPES
Illinois Other IL01AE JOHN DEERE
Illinois Other 07215036 JOHN DEERE
Illinois MEDICAID 0360777432 JOHN DEERE

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