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CENTRAL ILLINOIS PATHOLOGY, SC
NPI 1114970761
Pathology - Anatomic Pathology & Clinical Pathology in Peoria, IL

Active since May 17, 2006
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-9011(309) 624-9152 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Central Illinois Pathology, Sc NPPES

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

CENTRAL ILLINOIS PATHOLOGY, SC (NPI 1114970761) is a healthcare organization registered as an anatomic pathology & clinical pathology in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Michael P Hayes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114970761
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameCENTRAL ILLINOIS PATHOLOGY, SC
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address10335 N Port Washington Rd, Suite 250Mequon, WI 53092-5763 · (262) 240-9870 · Fax (262) 240-9869
Phone(309) 624-9011
Fax(309) 624-9152
Organization SubpartNo
Authorized OfficialMichael P HayesAdministrator · (309) 624-9011
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1114970761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Identifiers 1

Medicare PIN351250IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Central Illinois Pathology, Sc's NPI number?

The NPI number for Central Illinois Pathology, Sc is 1114970761. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Central Illinois Pathology, Sc located?

Central Illinois Pathology, Sc is located at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9011.

What is Central Illinois Pathology, Sc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Central Illinois Pathology, Sc was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.