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ILLINOIS VALLEY CENTER FOR PLASTIC SURGERY
NPI 1033163761
Clinic/Center - Medical Specialty in Peoria, IL

Active since May 19, 2006
5401 N KNOXVILLE AVE, SUITE 103, PEORIA, IL 61614(309) 691-7800(309) 691-7899 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Illinois Valley Center For Plastic Surgery NPPES

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

ILLINOIS VALLEY CENTER FOR PLASTIC SURGERY (NPI 1033163761) is a healthcare organization registered as a medical specialty in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Carrie Chiaravalle, Director, as its authorized official.

NPPES Registry Identity

NPI1033163761
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePROCTOR HEALTH SYSTEMS
Location Address5401 N KNOXVILLE AVE, SUITE 103Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 209Peoria, IL 61614-5098 · (309) 689-6049 · Fax (309) 689-6092
Phone(309) 691-7800
Fax(309) 691-7899
Organization SubpartYes
Authorized OfficialCarrie ChiaravalleDirector · (309) 689-6049
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 7, 2007
✔ NPI 1033163761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5401 N KNOXVILLE AVE, Peoria, IL 61614
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Other Names 1

Doing Business AsIllinois Valley Center For Plastic Surgery

Other Identifiers 1

Medicare ID-Type Unspecified242904IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311
ILLINOIS WOMEN'S HEALTH CENTER
Obstetrics & Gynecology (Gynecology)
5401 N KNOXVILLE AVE, SUITE 114
PEORIA, IL 61614
Peoria County (309) 683-0200

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 Proctor Health Systems's NPI number?

The NPI number for Proctor Health Systems is 1033163761. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Illinois Valley Center For Plastic Surgery.

Where is Proctor Health Systems located?

Proctor Health Systems is located at 5401 N Knoxville Ave Suite 103, Peoria, IL 61614. The listed phone number is (309) 691-7800.

What is Proctor Health Systems's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Proctor Health Systems was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.