Individual
WYATT ANDREW VERPLAETSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST STE 200, PEORIA, IL 61606-2035
(309) 308-2010
(309) 671-2167
Mailing address
1001 MAIN ST STE 200, PEORIA, IL 61606-2035
(309) 308-2010
(309) 671-2167
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2022026074
MO
207K00000X
Allergy & Immunology Physician
Primary
207K00000X
IL
207R00000X
Internal Medicine Physician
036155926
IL
208000000X
Pediatrics Physician
125.071367
IL
Other
Enumeration date
06/19/2017
Last updated
02/09/2026
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