Gail F. Streater, M.D./PH.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036117673 Issued in IL

Practice address

320 E Armstrong Ave
Peoria, IL 61603-3172

Phone

(309) 495-8671

Fax

(309) 495-8614

NPI assigned

May 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Peoria, IL
  • NPI 1336193861
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1306058854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E ARMSTRONG AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033172",
            "telephone_number": "309-680-7600",
            "fax_number": "309-495-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E ARMSTRONG AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033172",
            "telephone_number": "309-495-8671",
            "fax_number": "309-495-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREATER",
        "first_name": "GAIL",
        "middle_name": "F.",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036117673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117673",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Stotler
• Amanda Leigh Stovall, M.D.
• Julie Marie Strandberg
• Kyra Dee Stratman, LMT.
• Lori A Stratton, OT
• Heidi Streeter, P.T.
• Patricia Streitmatter, RPH, PHARMD
• Christian Ann Stremmel, APN
• Robert Warren Stretch, LCPC
• Morgan Renee Stricker, DO

• Pediatrics Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.