Elizabeth Diemer
Elizabeth Diemer is a Nurse Practitioner in Pontiac, Illinois. Qualified in 2023, 3 years ago. Practices with Saint James Hospital, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2500 W Reynolds St Ste 203Pontiac, IL 61764-9774
Phone: (815) 844-5115
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1506 W Reynolds St, Pontiac, IL 61764-9674 — (815) 844-6123
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209029298 (IL) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 041377192 (IL) |
Record details
| NPI number | 1699539577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2024 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 10, 2024 |
| Mailing address | 1105 N Prairie View Ln, Pontiac, IL 61764-1228 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Saint James Hospital — 74 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |