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LORI L PEGRAM MD
NPI 1215947171
Internal Medicine in Bloomington, IL

Active since August 09, 2006
302 SAINT JOSEPH DR, BLOOMINGTON, IL 61701(309) 664-3100(309) 664-3027 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori L Pegram Md NPPES

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

LORI L PEGRAM MD (NPI 1215947171) is an individual internal medicine provider in Bloomington, Illinois, licensed in Illinois (036072679) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215947171
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLORI L PEGRAMCredential: MD
Location Address302 SAINT JOSEPH DRBloomington, IL 61701-3506
Mailing Address302 Saint Joseph DrBloomington, IL 61701-3506 · (309) 664-3100 · Fax (309) 664-3027
Phone(309) 664-3100
Fax(309) 664-3027
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 22, 2014
✔ NPI 1215947171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036072679
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
302 SAINT JOSEPH DR, Bloomington, IL 61701
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Other Identifiers 3

OtherIL2613IL · Medicare Group Ptan
Medicare UPINC43452IL
Medicare PINIL2613013IL

Other Providers at the Same Location NPPES 8

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

STEPHEN TRAINOR M.D.
Pediatrics
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
DR. JODIE DEWEY MD
Pediatrics
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
DR. REBECCA ANNE SIERRA M.D.
Pediatrics
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
SAMINA YOUSUF
Pediatrics
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
TAMMY MURRELL LCPC
Counselor (Mental Health)
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
MRS. LILY ANNE YOUNG APN
Nurse Practitioner (Family)
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100
ST JOSEPH MEDICAL CENTER
Family Medicine
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (800) 589-6070
KRISTEN BRAUN NP
Nurse Practitioner
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 664-3100

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 Lori Pegram's NPI number?

The NPI number for Lori Pegram is 1215947171. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Lori Pegram located?

Lori Pegram practices at 302 Saint Joseph Dr, Bloomington, IL 61701. The listed phone number is (309) 664-3100.

What is Lori Pegram's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lori Pegram was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.