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INTEGRAMED MEDICAL ILLINOIS, LLC
NPI 1396169280
Obstetrics & Gynecology - Reproductive Endocrinology in Peoria, IL

Active since February 12, 2014
5401 N KNOXVILLE AVE, SUITE 102, PEORIA, IL 61614(309) 689-0411 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integramed Medical Illinois, Llc NPPES

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

INTEGRAMED MEDICAL ILLINOIS, LLC (NPI 1396169280) is a healthcare organization registered as a reproductive endocrinology in Peoria, Illinois and active in the NPI registry since February 2014. The organization lists Satish Vayuvegula, Presiden And Secretary, as its authorized official.

NPPES Registry Identity

NPI1396169280
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameINTEGRAMED MEDICAL ILLINOIS, LLC
Location Address5401 N KNOXVILLE AVE, SUITE 102Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 102Peoria, IL 61614-5098 · (309) 689-0411
Phone(309) 689-0411
Organization SubpartNo
Authorized OfficialSatish VayuvegulaPresiden And Secretary · (309) 689-0411
Enumeration DateFebruary 12, 2014
Last NPPES UpdateFebruary 24, 2014
✔ NPI 1396169280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
5401 N KNOXVILLE AVE, Peoria, IL 61614
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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.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

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 Integramed Medical Illinois, LLC's NPI number?

The NPI number for Integramed Medical Illinois, LLC is 1396169280. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Integramed Medical Illinois, LLC located?

Integramed Medical Illinois, LLC is located at 5401 N Knoxville Ave Suite 102, Peoria, IL 61614. The listed phone number is (309) 689-0411.

What is Integramed Medical Illinois, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Integramed Medical Illinois, LLC was last updated on February 24, 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.