5101 North Executive Drive

Peoria, IL 61614


Phone (Call or Text): 309-839-8631

Fax: 855-579-3536

Billing: 309-256-8312

Email: lisenbypt@gmail.com


Please fill out these forms prior to your appointment. If you are unable to complete these forms beforehand, please come 15 minutes early to complete them in office, before your appointment. Failure to do so, may result in an incomplete initial exam and delay your treatment progression.


Also, please bring your photo ID and insurance card(s) that we will be billing to your appointment.


In the Glen Professional Plaza: 5009 North Executive Drive, Suite B, Peoria, IL 61614

Phone:309-839-8631        Fax: 855-579-3536        Text: 309-253-1306        Billing: 309-256-8312        lisenbypt@gmail.com