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EAGLE FAMILY MEDICINE SC
NPI 1659409290
Clinic/Center - Primary Care in Peoria, IL

Active since March 02, 2007
2809 W WILLOW KNOLLS SUITE C, PEORIA, IL 61614(309) 692-6604(309) 692-6492 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Family Medicine Sc NPPES

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

EAGLE FAMILY MEDICINE SC (NPI 1659409290) is a healthcare organization registered as a primary care in Peoria, Illinois and active in the NPI registry since March 2007. The organization lists Robert Scott Bevill, Physician President, as its authorized official.

NPPES Registry Identity

NPI1659409290
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEAGLE FAMILY MEDICINE SC
Location Address2809 W WILLOW KNOLLS SUITE CPeoria, IL 61614-8259
Mailing Address2809 W Willow Knolls Suite CPeoria, IL 61614-8259 · (309) 692-6604 · Fax (309) 692-6492
Phone(309) 692-6604
Fax(309) 692-6492
Organization SubpartNo
Authorized OfficialRobert Scott BevillPhysician President · (309) 692-6604
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 10, 2008
✔ NPI 1659409290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2809 W WILLOW KNOLLS SUITE C, Peoria, IL 61614
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Other Identifiers 3

OtherK37812IL · Medicare Provider Number
Medicare UPINC48132IL
Other208745IL · Medicare Group Number

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 Eagle Family Medicine Sc's NPI number?

The NPI number for Eagle Family Medicine Sc is 1659409290. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Eagle Family Medicine Sc located?

Eagle Family Medicine Sc is located at 2809 W Willow Knolls Suite C, Peoria, IL 61614. The listed phone number is (309) 692-6604.

What is Eagle Family Medicine Sc'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 Eagle Family Medicine Sc was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.