SMH-PERU/HENNEPIN MEDICAL CLINIC
NPI 1013288646
Nurse Practitioner - Family in Hennepin, IL

Active since January 12, 2012
220 E HIGH ST, HENNEPIN, IL 61327(815) 925-7032(815) 925-7463 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smh-peru/hennepin Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMH-PERU/HENNEPIN MEDICAL CLINIC (NPI 1013288646) is a healthcare organization registered as a family in Hennepin, Illinois and active in the NPI registry since January 2012. The organization lists Dori Bonnell, Director Of Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1013288646
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameST. MARGARET'S HEALTH-PERU
Location Address220 E HIGH STHennepin, IL 61327-9424
Mailing Address1305 6th StPeru, IL 61354-2759 · (815) 223-3500 · Fax (815) 780-4634
Fax(815) 925-7463
Organization SubpartYes
Authorized OfficialDori BonnellDirector Of Physician Practices · (815) 780-3222
Enumeration DateJanuary 12, 2012
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
NPI 1013288646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
220 E HIGH ST, Hennepin, IL 61327

Other Names 2

Doing Business AsSmh-peru/hennepin Medical Clinic
Doing Business AsIvch Medical Group / Hennepin Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Margaret's Health-Peru's NPI number?

The NPI number for St. Margaret's Health-Peru is 1013288646. It was assigned to this organization in the NPPES registry on January 12, 2012. The provider is doing business as Smh-Peru/Hennepin Medical Clinic and Ivch Medical Group / Hennepin Medical Clinic.

Where is St. Margaret's Health-Peru located?

St. Margaret's Health-Peru is located at 220 E High St, Hennepin, IL 61327. The listed phone number is (815) 925-7032.

What is St. Margaret's Health-Peru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for St. Margaret's Health-Peru was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.