RICHARD PAUL DRIESSNACK M.D.
NPI 1679573901
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Peoria, IL

Active since July 28, 2005
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605(309) 676-5546(309) 676-5045 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Paul Driessnack M.d. NPPES

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

RICHARD PAUL DRIESSNACK M.D. (NPI 1679573901) is an individual adult reconstructive orthopaedic surgery provider in Peoria, Illinois, licensed in Illinois (36077466) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1679573901
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameRICHARD PAUL DRIESSNACKCredential: M.D.
Location Address303 N WILLIAM KUMPF BLVDPeoria, IL 61605-2507
Mailing Address303 N William Kumpf BlvdPeoria, IL 61605-2507 · (309) 676-5546 · Fax (309) 676-5045
Fax(309) 676-5045
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 2, 2010
NPI 1679573901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in IL · 36077466
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
303 N WILLIAM KUMPF BLVD, Peoria, IL 61605

Other Identifiers 4

Medicare UPINB52520
Medicare ID-Type UnspecifiedL63892IL
Medicare UPINB52520IL
Medicaid36077466IL

Other Providers at the Same Location NPPES 20

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

Physician Assistant
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Orthopaedic Surgery
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physical Therapist
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physical Therapist
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Nurse Practitioner
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physical Therapist
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Emergency Medicine (Sports Medicine)
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Orthopaedic Surgery
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605

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 Richard Driessnack's NPI number?

The NPI number for Richard Driessnack is 1679573901. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Richard Driessnack located?

Richard Driessnack practices at 303 N William Kumpf Blvd, Peoria, IL 61605. The listed phone number is (309) 676-5546.

What is Richard Driessnack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

When was this NPI record last updated?

The NPPES record for Richard Driessnack was last updated on November 2, 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.