ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
NPI 1275575706
Internal Medicine - Gastroenterology in Peoria, IL

Active since June 11, 2006
1001 MAIN ST, SUITE 500A, PEORIA, IL 61606(309) 672-4980(309) 671-2944 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Illinois Gastroenterology Institute, Pllc NPPES

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

ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC (NPI 1275575706), doing business as Gastroenterology, Ltd, is a healthcare organization registered as a gastroenterology in Peoria, Illinois and active in the NPI registry since June 2006. The organization lists Mike Shadley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275575706
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
Location Address1001 MAIN ST, SUITE 500APeoria, IL 61606-1907
Mailing AddressPo Box 365Morton, IL 61550-0365 · (309) 672-4980 · Fax (309) 671-2944
Fax(309) 671-2944
Organization SubpartNo
Authorized OfficialMike ShadleyAdministrator · (309) 672-4980
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 17, 20202 updates tracked since enumeration
NPPES CertifiedAugust 17, 2020
NPI 1275575706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 042006270
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1001 MAIN ST, Peoria, IL 61606

Other Names 1

Former Legal Business NameGastroenterology, Ltd

Other Identifiers 2

Other07215152IL · Blue Cross
OtherCE0700IL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Internal Medicine (Critical Care Medicine)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606

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 Illinois Gastroenterology Institute, PLLC's NPI number?

The NPI number for Illinois Gastroenterology Institute, PLLC is 1275575706. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider was formerly known as Gastroenterology, Ltd.

Where is Illinois Gastroenterology Institute, PLLC located?

Illinois Gastroenterology Institute, PLLC is located at 1001 Main St Suite 500A, Peoria, IL 61606. The listed phone number is (309) 672-4980.

What is Illinois Gastroenterology Institute, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Illinois Gastroenterology Institute, PLLC was last updated on August 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.