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LAKE OF THE WOODS MEDICAL CENTER
NPI 1629022447
Clinic/Center - Primary Care in Dunlap, IL

Active since May 19, 2006
12315 N KNOXVILLE AVE, DUNLAP, IL 61525(309) 243-5575(309) 243-5764 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Of The Woods Medical Center NPPES

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

LAKE OF THE WOODS MEDICAL CENTER (NPI 1629022447) is a healthcare organization registered as a primary care in Dunlap, Illinois and active in the NPI registry since May 2006. The organization lists Carrie Chiaravalle, Director, as its authorized official.

NPPES Registry Identity

NPI1629022447
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROCTOR HEALTH SYSTEMS
Location Address12315 N KNOXVILLE AVEDunlap, IL 61525-9501
Mailing Address5401 N Knoxville Ave, Suite 209Peoria, IL 61614-5098 · (309) 689-6049 · Fax (309) 689-6092
Phone(309) 243-5575
Fax(309) 243-5764
Organization SubpartYes
Authorized OfficialCarrie ChiaravalleDirector · (309) 689-6049
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 7, 2007
✔ NPI 1629022447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12315 N KNOXVILLE AVE, Dunlap, IL 61525
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Other Names 1

Doing Business AsLake Of The Woods Medical Center

Other Identifiers 1

Medicare ID-Type Unspecified242901IL

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 Health Systems's NPI number?

The NPI number for Proctor Health Systems is 1629022447. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Lake Of The Woods Medical Center.

Where is Proctor Health Systems located?

Proctor Health Systems is located at 12315 N Knoxville Ave, Dunlap, IL 61525. The listed phone number is (309) 243-5575.

What is Proctor Health Systems's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proctor Health Systems was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.