Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEORIA TREATMENT CENTER, LLC
NPI 1073944567
Clinic/Center - Rehabilitation, Substance Use Disorder in East Peoria, IL

Q: What is Peoria Treatment Center, LLC's NPI number?

The NPI number for Peoria Treatment Center, LLC is 1073944567. It was assigned to this organization in the NPPES registry on December 9, 2013. The provider is doing business as MedMark Treatment Centers East Peoria.

Q: What is Peoria Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since December 09, 2013

731 SABRINA DR UNIT C, EAST PEORIA, IL 61611(877) 592-5901(402) 592-5901 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Jan 13, 2026, Dec 19, 2025 and 5 more (8 updates tracked since 2021).

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About Peoria Treatment Center, Llc NPPES

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

PEORIA TREATMENT CENTER, LLC (NPI 1073944567), doing business as Medmark Treatment Centers East Peoria, is a healthcare organization registered as a rehabilitation, substance use disorder in East Peoria, Illinois and active in the NPI registry since December 2013. The organization lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1073944567

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NamePEORIA TREATMENT CENTER, LLC

Location Address731 SABRINA DR UNIT CEast Peoria, IL 61611-3582

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300

Phone(877) 592-5901

Fax(402) 592-5901

Organization SubpartNo

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateDecember 9, 2013

Last NPPES UpdateJuly 31, 20268 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1073944567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

731 SABRINA DR UNIT C, East Peoria, IL 61611

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Other Names 1

Doing Business AsMedmark Treatment Centers East Peoria

Other Providers at the Same Location NPPES 8

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

MR. ISRAEL P SERRANO BS CADC MISA

Counselor (Addiction (Substance Use Disorder))

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

BRIANA NESBIT LPN

Licensed Practical Nurse

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

CHRISTINA MCGREW APN

Nurse Practitioner

731 SABRINA DR UNIT C
PEORIA, IL 61611

Tazewell County (309) 699-9700

ELENA MARIA RICKARD CADC

Counselor (Addiction (Substance Use Disorder))

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

MRS. ANETA M BYRD LPN

Licensed Practical Nurse

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

NICOLE J REESE BSW

Counselor (Addiction (Substance Use Disorder))

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

PATHERESA A MCCAMY LPN

Licensed Practical Nurse

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

CHRISTOPHER WALKER BA

Counselor (Addiction (Substance Use Disorder))

731 SABRINA DR UNIT C
EAST PEORIA, IL 61611

Tazewell County (309) 699-9700

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 Peoria Treatment Center, LLC's NPI number?

The NPI number for Peoria Treatment Center, LLC is 1073944567. It was assigned to this organization in the NPPES registry on December 9, 2013. The provider is doing business as MedMark Treatment Centers East Peoria.

Where is Peoria Treatment Center, LLC located?

Peoria Treatment Center, LLC is located at 731 Sabrina Dr Unit C, East Peoria, IL 61611. The listed phone number is (877) 592-5901.

What is Peoria Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Peoria Treatment Center, LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.