1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Family Medicine
  6. NPI Profile

DR. GEORGE KENNETH SHOTICK JR. M.D.
NPI 1104941657
Family Medicine in Peoria, IL

Active since March 20, 2007
228 NE JEFFERSON AVE, PEORIA, IL 61603(309) 671-8000(309) 671-4695 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. George Kenneth Shotick Jr. M.d. NPPES

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

DR. GEORGE KENNETH SHOTICK JR. M.D. (NPI 1104941657) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036-059533) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104941657
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GEORGE KENNETH SHOTICK JR.Credential: M.D.
Location Address228 NE JEFFERSON AVEPeoria, IL 61603-3802
Mailing Address228 Ne Jefferson AvePeoria, IL 61603-3802 · (309) 671-8000 · Fax (309) 671-4695
Phone(309) 671-8000
Fax(309) 671-4695
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1104941657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-059533
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
228 NE JEFFERSON AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINC46229IL

Other Providers at the Same Location NPPES 14

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

KIRA FURKIN APN
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8297
JACQUELINE JONES TOAL
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
NARAYANA REDDY M.D.
Psychiatry & Neurology (Psychiatry)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
DR. CHRISTOPHER MICHAEL GILLETTE PHARM D., BCPP
Pharmacist (Psychiatric)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
JONATHAN WILLIAM MOONEY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
WESTON ROBERT KINSINGER
Counselor
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
MS. NICOLE MARIE HARRIS MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
SHARON A. TEAR NP
Nurse Practitioner (Family)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 680-7600

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 George Shotick's NPI number?

The NPI number for George Shotick is 1104941657. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is George Shotick located?

George Shotick practices at 228 NE Jefferson Ave, Peoria, IL 61603. The listed phone number is (309) 671-8000.

What is George Shotick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for George Shotick was last updated on February 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.