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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROEHL MEDICINE, PLLC
NPI 1225948912
General Practice in Morton, IL

Active since September 08, 2026CLIA 14D2349483 · Waiver
419 MAXINE DR, MORTON, IL 61550(309) 220-5840(309) 204-8162 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Proehl Medicine, Pllc NPPES

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

PROEHL MEDICINE, PLLC (NPI 1225948912) is a healthcare organization registered as a general practice in Morton, Illinois and active in the NPI registry since September 2026. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Trent Proehl, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1225948912
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROEHL MEDICINE, PLLC
Location Address419 MAXINE DRMorton, IL 61550-2495
Mailing Address419 Maxine DrMorton, IL 61550-2495 · (309) 220-5840 · Fax (309) 204-8162
Phone(309) 220-5840
Fax(309) 204-8162
Organization SubpartNo
Authorized OfficialTrent ProehlPhysician/owner · (309) 220-5840
Enumeration DateSeptember 8, 2026
NPPES CertifiedSeptember 8, 2026
✔ NPI 1225948912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
419 MAXINE DR, Morton, IL 61550
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2349483

Proehl Medicine PLLC · Morton, IL
Active · expires Aug 20, 2028
CLIA Number14D2349483
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorTrent D. Proehl
Laboratory Phone(309) 220-5840
Laboratory LocationProehl Medicine PLLC923 Detroit Court, Suite 4, Morton, IL 61550
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SARAH TROMBETTA
Pharmacist
419 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 291-0180
MORTON ALWAN PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
419 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 291-0180
MORTON ALWAN PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
419 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 291-0180

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 Proehl Medicine, PLLC's NPI number?

The NPI number for Proehl Medicine, PLLC is 1225948912. It was assigned to this organization in the NPPES registry on September 8, 2026.

Where is Proehl Medicine, PLLC located?

Proehl Medicine, PLLC is located at 419 Maxine Dr, Morton, IL 61550. The listed phone number is (309) 220-5840.

What is Proehl Medicine, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Proehl Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2349483) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proehl Medicine, PLLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.