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PROCTOR HOSPITAL
NPI 1457679581
Clinic/Center - Rehabilitation in Peoria, IL

Active since May 13, 2010
5409 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-1000(309) 671-8265 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proctor Hospital NPPES

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

PROCTOR HOSPITAL (NPI 1457679581) is a healthcare organization registered as a rehabilitation in Peoria, Illinois and active in the NPI registry since May 2010. The organization lists Deborah R. Simon, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1457679581
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePROCTOR COMMUNITY HOSPITAL
Location Address5409 N KNOXVILLE AVEPeoria, IL 61614-5069
Mailing Address5409 N Knoxville AvePeoria, IL 61614-5069 · (309) 672-4813 · Fax (309) 671-8265
Phone(309) 691-1000
Fax(309) 671-8265
Organization SubpartNo
Authorized OfficialDeborah R. SimonPresident/ceo · (309) 672-5928
Enumeration DateMay 13, 2010
Last NPPES UpdateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1457679581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in IL · 0001925
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License 1927324 (IL)
5409 N KNOXVILLE AVE, Peoria, IL 61614
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Other Names 1

Doing Business AsProctor Hospital

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.

PROCTOR COMMUNITY HOSPITAL
General Acute Care Hospital
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
CHELSEA KREJCI
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
MRS. NICOLE LOVIN APN-CNP
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
MONICA EVERETT PA-C
Physician Assistant
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
DAVID TENNANT
Family Medicine
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
ERIN K HOCKER OTR/L
Occupational Therapist
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Psychiatric Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Rehabilitation Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000

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 Proctor Community Hospital's NPI number?

The NPI number for Proctor Community Hospital is 1457679581. It was assigned to this organization in the NPPES registry on May 13, 2010. The provider is doing business as Proctor Hospital.

Where is Proctor Community Hospital located?

Proctor Community Hospital is located at 5409 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-1000.

What is Proctor Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Proctor Community Hospital was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.