PEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS
NPI 1659672129
Obstetrics & Gynecology in Peoria, IL

Active since November 15, 2010
900 MAIN ST STE 660, PEORIA, IL 61602(309) 687-4230(309) 687-4235 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peoria Obstetrics & Gynecology Of Central Illinois NPPES

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

PEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS (NPI 1659672129) is a healthcare organization registered as an obstetrics & gynecology in Peoria, Illinois and active in the NPI registry since November 2010. The organization lists Paula Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659672129
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS
Location Address900 MAIN ST STE 660Peoria, IL 61602-1060
Mailing Address900 Main St Ste 660Peoria, IL 61602-1060 · (309) 687-4230 · Fax (309) 687-4235
Fax(309) 687-4235
Organization SubpartNo
Authorized OfficialPaula ClarkAdministrator · (309) 687-4242
Enumeration DateNovember 15, 2010
NPI 1659672129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
900 MAIN ST STE 660, Peoria, IL 61602

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Women's Health)
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Acute Care)
900 MAIN ST STE 660
PEORIA, IL 61602
Obstetrics & Gynecology
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Women's Health)
900 MAIN ST STE 660
PEORIA, IL 61602
Surgery (Vascular Surgery)
900 MAIN ST STE 660
PEORIA, IL 61602
Obstetrics & Gynecology
900 MAIN ST STE 660
PEORIA, IL 61602
Internal Medicine (Cardiovascular Disease)
900 MAIN ST STE 660
PEORIA, IL 61602

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 Peoria Obstetrics & Gynecology Of Central Illinois's NPI number?

The NPI number for Peoria Obstetrics & Gynecology Of Central Illinois is 1659672129. It was assigned to this organization in the NPPES registry on November 15, 2010.

Where is Peoria Obstetrics & Gynecology Of Central Illinois located?

Peoria Obstetrics & Gynecology Of Central Illinois is located at 900 Main St Ste 660, Peoria, IL 61602. The listed phone number is (309) 687-4230.

What is Peoria Obstetrics & Gynecology Of Central Illinois's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Peoria Obstetrics & Gynecology Of Central Illinois was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.