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METHODIST MEDICAL CENTER OF ILLINOIS
NPI 1164474755
General Acute Care Hospital in Peoria, IL

Active since May 16, 2006
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Feb 14, 2020, Jun 10, 2019 and 3 more (6 updates tracked since 2017).

About Methodist Medical Center Of Illinois NPPES

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

METHODIST MEDICAL CENTER OF ILLINOIS (NPI 1164474755) is a healthcare organization registered as a general acute care hospital in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Keith Knepp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164474755
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS
Location Address221 NE GLEN OAK AVEPeoria, IL 61636
Mailing Address221 Ne Glen Oak Ave, Gomp 100Peoria, IL 61636-0001
Phone(309) 672-5522
Organization SubpartNo
Authorized OfficialKeith KneppCeo · (309) 671-2528
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 28, 20236 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1164474755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IL · 0001594
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
221 NE GLEN OAK AVE, Peoria, IL 61636
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Other Identifiers 1

Other0116IL · Blue Cross Prov. Number

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.

BRYCE HAMAMOTO
Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
RIAZ SHAH MD
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Peoria County (309) 672-5729
CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5700
MIHAILO NIKOLIC
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5654
WAQAS ALI MD
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
ANNE LOOK APN
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
DR. KENNETH STRUM M.D.
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 369-1761
DR. ANDREW BRIAN ARMSTRONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-4920

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 Methodist Medical Center Of Illinois's NPI number?

The NPI number for Methodist Medical Center Of Illinois is 1164474755. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Methodist Medical Center Of Illinois located?

Methodist Medical Center Of Illinois is located at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5522.

What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Methodist Medical Center Of Illinois was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.