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MEDICAL SERVICE PLAN AT PEORIA
NPI 1174596225
Pediatrics - Neurodevelopmental Disabilities in Peoria, IL

Active since February 09, 2006
515 NE GLEN OAK AVE, PEDIATRIC NEUROLOGY, PEORIA, IL 61603(309) 624-9844 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Service Plan At Peoria NPPES

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

MEDICAL SERVICE PLAN AT PEORIA (NPI 1174596225) is a healthcare organization registered as a neurodevelopmental disabilities in Peoria, Illinois and active in the NPI registry since February 2006. The organization lists William R Nicholas, Executive Director Of Msp, as its authorized official.

NPPES Registry Identity

NPI1174596225
Entity TypeOrganization
Primary Taxonomy2080P0008X
Legal Business NameUNIVERSITY OF ILLINOIS
Location Address515 NE GLEN OAK AVE, PEDIATRIC NEUROLOGYPeoria, IL 61603-3165
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-8503
Phone(309) 624-9844
Organization SubpartNo
Authorized OfficialWilliam R NicholasExecutive Director Of Msp · (312) 413-0573
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174596225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
515 NE GLEN OAK AVE, Peoria, IL 61603
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Other Names 1

Doing Business AsMedical Service Plan At Peoria

Other Identifiers 1

Other07215036IL · Bcbs

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 4

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

BLAS ZELAYA MD
Pediatrics (Neurodevelopmental Disabilities)
515 NE GLEN OAK AVE, PEDIATRIC NEUROLOGY #308
PEORIA, IL 61603
Peoria County (309) 624-9844
ROBERT A PFLEDERER MD
Internal Medicine (Nephrology)
515 NE GLEN OAK AVE, SUITE 108
PEORIA, IL 61603
Peoria County (309) 676-8123
DANIEL M COURI LTD
Internal Medicine (Cardiovascular Disease)
515 NE GLEN OAK AVE, SUITE 105
PEORIA, IL 61603
Peoria County (309) 674-2002
CALEB DAVIS
Counselor
515 NE GLEN OAK AVE, SUITE 101
PEORIA, IL 61603
Peoria County (309) 655-7378

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 University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1174596225. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as Medical Service Plan At Peoria.

Where is University Of Illinois located?

University Of Illinois is located at 515 NE Glen Oak Ave Pediatric Neurology, Peoria, IL 61603. The listed phone number is (309) 624-9844.

What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for University Of Illinois was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.