TERRYL A. POLANIN FNP
NPI 1235229535
Nurse Practitioner - Family in Peoria, IL

Q: What is Terryl Polanin's NPI number?

The NPI number for Terryl Polanin is 1235229535. It was assigned to this individual provider in the NPPES registry on October 15, 2006. The provider is also known as Terryl A Bush Fnp.

Q: What is Terryl Polanin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Terryl Polanin was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 15, 2006

2321 N WISCONSIN AVE, PEORIA, IL 61603(309) 680-7600(309) 681-4681 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2020, Mar 6, 2020 (2 updates tracked since 2020).

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About Terryl A. Polanin Fnp NPPES

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

TERRYL A. POLANIN FNP (NPI 1235229535) is an individual family provider in Peoria, Illinois, licensed in Illinois (277-000264) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1235229535

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERRYL A. POLANINCredential: FNP

Location Address2321 N WISCONSIN AVEPeoria, IL 61603-5613

Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7669 · Fax (309) 681-8443

Phone(309) 680-7600

Fax(309) 681-4681

Sole ProprietorNo

Enumeration DateOctober 15, 2006

Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration

NPPES CertifiedMarch 11, 2020

✔ NPI 1235229535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 277-000264

Also ListedNurse PractitionerTaxonomy 363L00000X · License 041162013/209000866 (IL)

2321 N WISCONSIN AVE, Peoria, IL 61603

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Other Names 1

Former Name (1)Terryl A Bush Fnp

Other Providers at the Same Location NPPES 17

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

KROGER LIMITED PARTNERSHIP I

Pharmacy (Community/Retail Pharmacy)