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

GREGORY CLEMENTZ
NPI 1174605505
Family Medicine in Peoria, IL

Active since October 19, 2006
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 683-5700(309) 683-5752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gregory Clementz NPPES

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

GREGORY CLEMENTZ (NPI 1174605505) is an individual family medicine provider in Peoria, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174605505
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY CLEMENTZ
Location Address5111 N GLEN PARK PLACE RDPeoria, IL 61614-4675
Mailing Address5111 N Glen Park Place RdPeoria, IL 61614-4675 · (309) 683-5700 · Fax (309) 683-5752
Phone(309) 683-5700
Fax(309) 683-5752
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174605505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5111 N GLEN PARK PLACE RD, Peoria, IL 61614
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified080065842 / CA4079IL · Rr
Medicare UPINC37678
Medicare ID-Type UnspecifiedL34123IL · Individual #
Medicare ID-Type Unspecified815980IL · Group #

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.

KAREN CADET-SAINTILUS M.D.
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
NATALIE PATTY
Physician Assistant
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
JENNIFER L MILLS APN
Nurse Practitioner
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
GREGORY T MOSKOP MD
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
MISS KIMBERLEY B HERZOG LISW-S
Social Worker (Clinical)
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
TIERRA LEE WEGLARZ DO
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
LINDSEY HABECKER
Nurse Practitioner (Family)
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
TAYLOR L. PERRY APN
Nurse Practitioner
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700

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 Gregory Clementz's NPI number?

The NPI number for Gregory Clementz is 1174605505. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Gregory Clementz located?

Gregory Clementz practices at 5111 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 683-5700.

What is Gregory Clementz'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 Gregory Clementz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.