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METHODIST MEDICAL CENTER OF ILLINOIS
NPI 1629355060
Nurse Practitioner - School in Peoria, IL

Active since November 14, 2011
2702 W KRAUSE AVE, PEORIA, IL 61605(309) 685-8390 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2020, Mar 15, 2018 (2 updates tracked since 2018).

About Methodist Medical Center Of Illinois NPPES

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

METHODIST MEDICAL CENTER OF ILLINOIS (NPI 1629355060) is a healthcare organization registered as a school in Peoria, Illinois and active in the NPI registry since November 2011. The organization lists Stephen M. Cirone, Regional Mgr-reimb/rev Recognition, as its authorized official.

NPPES Registry Identity

NPI1629355060
Entity TypeOrganization
Primary Taxonomy363LS0200X
Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS
Location Address2702 W KRAUSE AVEPeoria, IL 61605-2905
Mailing Address5100 Reliable PkwyChicago, IL 60686-0051
Phone(309) 685-8390
Organization SubpartNo
Authorized OfficialStephen M. CironeRegional Mgr-reimb/rev Recognition · (309) 672-4813
Enumeration DateNovember 14, 2011
Last NPPES UpdateFebruary 14, 20202 updates tracked since enumeration
✔ NPI 1629355060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
2702 W KRAUSE AVE, Peoria, IL 61605
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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 Methodist Medical Center Of Illinois's NPI number?

The NPI number for Methodist Medical Center Of Illinois is 1629355060. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Methodist Medical Center Of Illinois located?

Methodist Medical Center Of Illinois is located at 2702 W Krause Ave, Peoria, IL 61605. The listed phone number is (309) 685-8390.

What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

When was this NPI record last updated?

The NPPES record for Methodist Medical Center Of Illinois was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.