Organization
PATRICK L WYFFELS, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LYNN WYFFELS M.D. (PRESIDENT)
(309) 589-0600
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 302, PEORIA, IL 61614-5098
(309) 589-0600
(309) 589-0602
Mailing address
5401 N KNOXVILLE AVE, SUITE 302, PEORIA, IL 61614-5098
(309) 589-0600
(309) 589-0602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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