Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kole Patrick Winebrenner, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417898156

Kole Patrick Winebrenner, DO is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417898156
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 5, 2026
Mailing address2401 W Alta Rd Apt 1905, Peoria, IL 61615-4600

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