Individual provider · Type 1 NPI

Madeline Jo Gresham, WHNP

Women's Health Nurse Practitioner · Pekin, IL

NPI number 1124748009 Active

Practice location

19 Olt Ave
Pekin, IL 61554-6214

Fax (309) 353-3334

Mailing address

2022 W Laura Ave
West Peoria, IL 61604-5166

Other practice locations

  • 1800 N Knoxville Ave, Peoria, IL 61603-3028 · (309) 680-7600
  • 2321 N Wisconsin Ave, Peoria, IL 61603-5613 · (309) 680-7600

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X209026023 (IL)
Registered Nurse 163W00000X041444979 (IL)

Women's Health Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1124748009

Madeline Jo Gresham, WHNP's National Provider Identifier is 1124748009, issued on Aug 31, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Pekin, IL. The record was last updated on Oct 18, 2023.