MATTHEW MCMILLIN MD NPI 1528021987

Family Medicine in Peoria, IL

About MATTHEW MCMILLIN

Matthew Mcmillin is a provider in Peoria, IL with more than 22 years of experience. The NPI number assigned to this provider is 1528021987. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Matthew Mcmillin is registered with Medicare and accepts claims assignment.

NPI1528021987 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MATTHEW MCMILLIN MD
Provider Location Address221 NE GLEN OAK AVE PEORIA, IL 61603 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address21276 NETWORK PL CHICAGO, IL 60673 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-07-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MATTHEW MCMILLIN MD
221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
Phone: (309) 672-5522
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Mailing Address

MATTHEW MCMILLIN MD
21276 NETWORK PL
CHICAGO, IL
ZIP 60673
Phone: (877) 485-4474

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License StateIL
Taxonomy DescriptionFamily 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G83356MEDICARE UPIN (02)IL
K15306MEDICARE ID-TYPE UNSPECIFIED (04)IL

Map Location


MATTHEW MCMILLIN MD address is 221 NE GLEN OAK AVE PEORIA, IL 61603

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043273592 JAMES THOMAS MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1114989027 TONYA VINING MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1134484041 ELIZABETH ANNE HAYES APN
Individual
Nurse Practitioner (Family)221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 999-1090
1154384519 LINDA S MCCARTNEY MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1295898591 DAWN CLARISSE TANNER PA-C
Individual
Physician Assistant221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1376505420 MARIO MIRANDA DO
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1386607927 ANN JENKINS MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 372-5522
1447222146 ANDREW TODD HARRIS M.D.
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1477515393COMPREHENSIVE EMERGENCY SOLUTIONS SC
Organization
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1477717247DR. DAVID W DEAN M.D.
Individual
Emergency Medicine221 NE GLEN OAK AVE EMERGENCY DEPT
PEORIA, IL 61603
(309) 672-5522
1508845603 HOREA BAILA MD
Individual
Pathology (Anatomic Pathology)221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5790
1558324004 CLEOPAS WILLIAMS MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1568425924 CHRIS WADE PA-C
Individual
Physician Assistant221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1578597738PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
Organization
Pathology (Anatomic Pathology & Clinical Pathology)221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-4911
1659573020 IGOR BEGOVIC MD
Individual
Anesthesiology221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1679535728 MICHAEL KOEPPEN MD
Individual
Family Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1689637217 ELSBURGH CLARKE JR. MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522
1780819037 JULIA ANNE ADAMS
Individual
Pathology (Anatomic Pathology & Clinical Pathology)221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-4919
1821050832 JAMES GREGORY SOWARDS MD
Individual
Emergency Medicine221 NE GLEN OAK AVE
PEORIA, IL 61603
(309) 672-5522