MEDICAL SERVICE PLAN AT PEORIA
NPI 1205807187
Pediatrics - Pediatric Critical Care Medicine in Peoria, IL

Q: What is University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1205807187. It was assigned to this organization in the NPPES registry on January 30, 2006. The provider is doing business as Medical Service Plan At Peoria.

Q: What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since January 30, 2006

530 NE GLEN OAK AVE, DEPT OF PEDIATRIC CRITICAL CARE, PEORIA, IL 61637(309) 655-2250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1205807187) is a healthcare organization registered as a pediatric critical care medicine in Peoria, Illinois and active in the NPI registry since January 2006. The organization lists William R Nicholas, Executive Director Msp, as its authorized official.

NPPES Registry Identity

NPI1205807187

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameUNIVERSITY OF ILLINOIS

Location Address530 NE GLEN OAK AVE, DEPT OF PEDIATRIC CRITICAL CAREPeoria, IL 61637-0001

Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-8503

Phone(309) 655-2250

Organization SubpartNo

Authorized OfficialWilliam R NicholasExecutive Director Msp · (312) 413-0573

Enumeration DateJanuary 30, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205807187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

530 NE GLEN OAK AVE, Peoria, IL 61637

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1205807187. It was assigned to this organization in the NPPES registry on January 30, 2006. The provider is doing business as Medical Service Plan At Peoria.

Where is University Of Illinois located?

University Of Illinois is located at 530 NE Glen Oak Ave Dept Of Pediatric Critical Care, Peoria, IL 61637. The listed phone number is (309) 655-2250.

What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

What insurance does University Of Illinois accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Illinois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Illinois was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.