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MID ILLINI SURGICAL ASSOCIATES SC
NPI 1093854002
Surgery in Peoria, IL

Active since February 06, 2007
900 MAIN ST, SUITE 530, PEORIA, IL 61602(309) 672-5975(309) 655-1678 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Illini Surgical Associates Sc NPPES

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

MID ILLINI SURGICAL ASSOCIATES SC (NPI 1093854002) is a healthcare organization registered as a surgery in Peoria, Illinois and active in the NPI registry since February 2007. The organization lists Greg Totten, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093854002
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMID ILLINI SURGICAL ASSOCIATES SC
Location Address900 MAIN ST, SUITE 530Peoria, IL 61602-1074
Mailing Address900 Main Street, Suite 530Peoria, IL 61602-1074 · (309) 672-5975 · Fax (309) 655-1678
Phone(309) 672-5975
Fax(309) 655-1678
Organization SubpartNo
Authorized OfficialGreg TottenOffice Manager · (309) 672-5975
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1093854002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 MAIN ST, Peoria, IL 61602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

KAREN MARGARET KYLE M.D.
Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
CATHERINE J KILBOURN LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S.
Psychologist (Clinical)
900 MAIN ST, SUITE 780
PEORIA, IL 61602
Peoria County (309) 672-5946
RYAN FAIRCHILD
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
CRYSTAL CORZATT PT
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
LYNNE M JALOVEC, MD, SC
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Peoria County (309) 672-4174
MICHAEL D. CASHMAN, M.D., S.C.
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602
Peoria County (309) 671-8313
MR. CHRISTOPHER P HOLLY LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266

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 Mid Illini Surgical Associates Sc's NPI number?

The NPI number for Mid Illini Surgical Associates Sc is 1093854002. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Mid Illini Surgical Associates Sc located?

Mid Illini Surgical Associates Sc is located at 900 Main St Suite 530, Peoria, IL 61602. The listed phone number is (309) 672-5975.

What is Mid Illini Surgical Associates Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mid Illini Surgical Associates Sc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.