Mrs. Julie Ann Peacock, PTDPTBCBPMD
Mrs. Julie Ann Peacock, PTDPTBCBPMD is a Physical Therapist in Private Practice in Springfield, Illinois. Qualified in 2000, 26 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 26
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
3020 S 6th StSpringfield, IL 62703-5915
Phone: (217) 528-7541
Fax: (217) 789-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070012045 (IL) |
|---|
Record details
| NPI number | 1578825873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTDPTBCBPMD |
| Sole proprietor | No |
| NPI enumerated | June 12, 2012 |
| Last updated in NPPES | October 28, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Springfield Clinic, Llp — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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