TYRIAN HEALTHCARE, LLC
NPI 1447881487
General Practice in West Peoria, IL

Active since January 29, 2020
2120 W HEADING AVE, WEST PEORIA, IL 61604(309) 306-1039 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tyrian Healthcare, Llc NPPES

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

TYRIAN HEALTHCARE, LLC (NPI 1447881487) is a healthcare organization registered as a general practice in West Peoria, Illinois and active in the NPI registry since January 2020. The organization maintains 2 additional practice locations and lists Toufic S Khairallah, President & Ceo/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447881487
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTYRIAN HEALTHCARE, LLC
Location Address2120 W HEADING AVEWest Peoria, IL 61604-5138
Mailing AddressPo Box 9183Peoria, IL 61612-9183 · (309) 306-1039
Organization SubpartNo
Authorized OfficialToufic S KhairallahPresident & Ceo/ Nurse Practitioner · (309) 306-1039
Enumeration DateJanuary 29, 2020
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1447881487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2120 W HEADING AVE, West Peoria, IL 61604

Secondary Practice Locations 2

Location 11881 NE 26th St Ste 102Wilton Manors, FL 33305-1427 · Phone (309) 306-1039 · Fax (309) 291-0932
Location 27150 N University StPeoria, IL 61614-1752 · Phone (309) 306-1039 · Fax (309) 291-0932

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Tyrian Healthcare, LLC's NPI number?

The NPI number for Tyrian Healthcare, LLC is 1447881487. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Tyrian Healthcare, LLC located?

Tyrian Healthcare, LLC is located at 2120 W Heading Ave, West Peoria, IL 61604. The listed phone number is (309) 306-1039.

What is Tyrian Healthcare, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Tyrian Healthcare, LLC was last updated on August 30, 2021. 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.