Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588726608 Individual Practitioner Male Practitioner

Dr. Patrick L Wyffels , MD

Specialist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Wyffels, MD is a registered healthcare professional specializing in Specialist in Peoria, IL. Practice services are available at 5401 N KNOXVILLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5401 N Knoxville Ave
Suite # 302

Peoria, IL 616145098

Telephone 3095890600
Fax 3095890602
Associated Practice Facility / Clinic
🏢 Frank I Russo Facility NPI 1639140833

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Peoria, IL (1322 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036063794

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036063794 (IL)
Commercial Insurance / Payer ID Bluecross Blueshield
07200634 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Yibing Li , MD

Physical Medicine & Rehabilitation

NPI 1013923929

Doctor of Medicine (M.D.)

Barbara Nall , APN

Nurse Practitioner - Women's Health

NPI 1053383471

Advanced Practice Nurse

Susan Gwillim , PT

Physical Therapist

NPI 1053410159

Physical Therapist

Dr. Kevin Henry , MD

Anesthesiology - Pain Medicine

NPI 1063490183

Doctor of Medicine (M.D.)

Colleen Cushing Ragon , APN, CNS

Nurse Practitioner - Family

NPI 1073804217

Advanced Practice Nurse, Clinical Nurse Specialist

Anne Waldrop , PT

Physical Therapist

NPI 1114026192

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2007

Registered at 5401 N KNOXVILLE AVE, SUITE # 302, PEORIA, IL 616145098 (Tel: 3095890600)

📍
Updated Business Mailing Address December 07, 2007

Registered at 5401 N KNOXVILLE AVE, SUITE # 302, PEORIA, IL 616145098 (Tel: 3095890600)

👤
Provider Name / Credentials Updated December 07, 2007

Recorded as PATRICK WYFFELS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2007

Specialist (License #036063794 in IL)

🟢
Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588726608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: December 07, 2007
Sole Proprietor: Yes

Mailing Address

5401 N Knoxville Ave, Suite # 302

Peoria, IL 616145098

Phone: 3095890600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.