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JOAN K SELBURG CST
NPI 1063538940
in Peoria, IL

Active since March 22, 2007
120 NE GLEN OAK AVE, SUITE 407, PEORIA, IL 61603(309) 672-5975(309) 655-1678 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joan K Selburg Cst NPPES

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

JOAN K SELBURG CST (NPI 1063538940) is an individual healthcare provider in Peoria, Illinois, licensed in Illinois (102326) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063538940
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameJOAN K SELBURGCredential: CST
Location Address120 NE GLEN OAK AVE, SUITE 407Peoria, IL 61603-4301
Mailing Address120 Ne Glen Oak Ave, Suite 407Peoria, IL 61603-4301 · (309) 672-5975 · Fax (309) 655-1678
Phone(309) 672-5975
Fax(309) 655-1678
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063538940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
License✔ Licensed in IL · 102326
120 NE GLEN OAK AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

METHODIST MEDICAL CENTER OF ILLINOIS
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
PEORIA, IL 61603
Peoria County (309) 671-8230
DR. DANIEL W PALMER JR. MD
Specialist
120 NE GLEN OAK AVE, SUITE 408
PEORIA, IL 61603
Peoria County (309) 672-3158
ALLERGY AND ASTHMA CARECENTER SC
Clinic/Center
120 NE GLEN OAK AVE, SUITE 408
PEORIA, IL 61603
Peoria County (309) 672-3158
MRS. GURRAMKONDA NAIDU M.D.
Family Medicine
120 NE GLEN OAK AVE, SUITE 306
PEORIA, IL 61603
Peoria County (309) 672-4582
KINDRED LLC
Obstetrics & Gynecology (Obstetrics)
120 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603
Peoria County (309) 673-0000
JOSEPH COURI MD
Internal Medicine (Rheumatology)
120 NE GLEN OAK AVE, SUITE 100
PEORIA, IL 61603
Peoria County (309) 671-8270
MAREN THOMPSON PHARM D
Pharmacist (Ambulatory Care)
120 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603
Peoria County (309) 648-1359

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 Joan Selburg's NPI number?

The NPI number for Joan Selburg is 1063538940. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Joan Selburg located?

Joan Selburg practices at 120 NE Glen Oak Ave Suite 407, Peoria, IL 61603. The listed phone number is (309) 672-5975.

When was this NPI record last updated?

The NPPES record for Joan Selburg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.