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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEFFREY K KETCHAM MD
NPI 1245229368
Family Medicine in Peoria, IL

Active since October 20, 2005
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615(309) 692-5393(309) 692-2583 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Jeffrey K Ketcham Md NPPES

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

DR. JEFFREY K KETCHAM MD (NPI 1245229368) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (0360743479) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1245229368
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY K KETCHAMCredential: MD
Location Address8600 N STATE ROUTE 91, SUITE 250Peoria, IL 61615-9541
Mailing Address8600 N State Route 91, Suite 250Peoria, IL 61615-9541 · (309) 692-5393 · Fax (309) 692-2583
Phone(309) 692-5393
Fax(309) 692-2583
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1245229368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 0360743479
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 0360743479 (IL)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 0360743479 (IL)
8600 N STATE ROUTE 91, Peoria, IL 61615
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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. MARTIN J HURD MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
BRITTANY N HEMMELE APN
Nurse Practitioner
8600 N STATE ROUTE 91
PEORIA, IL 61615
Peoria County (309) 683-5050
DR. JEREMY L KROCK DO
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. FRANK A RADOSEVICH MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. NYUNT TIN MD
Family Medicine
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
MEGAN M CUNNINGHAM PA-C
Physician Assistant
8600 N STATE ROUTE 91
PEORIA, IL 61615
Peoria County (309) 683-5050
DR. RODNEY C OSBORN MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. JOHN K KULA MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393

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 Jeffrey Ketcham's NPI number?

The NPI number for Jeffrey Ketcham is 1245229368. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Jeffrey Ketcham located?

Jeffrey Ketcham practices at 8600 N State Route 91 Suite 250, Peoria, IL 61615. The listed phone number is (309) 692-5393.

What is Jeffrey Ketcham'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 Jeffrey Ketcham was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.