SPOON RIVER FAMILY PRACTICE CENTER, INC
NPI 1437268604
Family Medicine in Canton, IL

Active since August 30, 2006
45 E SIDE SQ, SUITE 102, CANTON, IL 61520(309) 647-9980(309) 647-7792 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spoon River Family Practice Center, Inc NPPES

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

SPOON RIVER FAMILY PRACTICE CENTER, INC (NPI 1437268604) is a healthcare organization registered as a family medicine in Canton, Illinois and active in the NPI registry since August 2006. The organization lists Linda Kay Forestier, President, as its authorized official.

NPPES Registry Identity

NPI1437268604
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPOON RIVER FAMILY PRACTICE CENTER, INC
Location Address45 E SIDE SQ, SUITE 102Canton, IL 61520-2671
Mailing Address45 E Side Sq, Suite 102Canton, IL 61520-2671 · (309) 647-9980
Fax(309) 647-7792
Organization SubpartNo
Authorized OfficialLinda Kay ForestierPresident · (309) 647-9980
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1437268604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
45 E SIDE SQ, Canton, IL 61520

Other Identifiers 4

OtherDA4719Medicare Railroad Group #
OtherIL0101IL · John Deere Provider #
Other014152IL · Health Alliance Provdier
Other0002932001IL · Blue Cross Provider #

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

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 Spoon River Family Practice Center, Inc's NPI number?

The NPI number for Spoon River Family Practice Center, Inc is 1437268604. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Spoon River Family Practice Center, Inc located?

Spoon River Family Practice Center, Inc is located at 45 E Side Sq Suite 102, Canton, IL 61520. The listed phone number is (309) 647-9980.

What is Spoon River Family Practice Center, Inc'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 Spoon River Family Practice Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.