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PEORIA INTEGRATIVE MEDICAL CENTER LTD
NPI 1699839985
Family Medicine in Peoria, IL

Active since December 20, 2006
4930 N EXECUTIVE DR, SUITE B, PEORIA, IL 61614(309) 683-6002(309) 683-6007 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peoria Integrative Medical Center Ltd NPPES

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

PEORIA INTEGRATIVE MEDICAL CENTER LTD (NPI 1699839985) is a healthcare organization registered as a family medicine in Peoria, Illinois and active in the NPI registry since December 2006. The organization lists Yang Xie, Owner, as its authorized official.

NPPES Registry Identity

NPI1699839985
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEORIA INTEGRATIVE MEDICAL CENTER LTD
Location Address4930 N EXECUTIVE DR, SUITE BPeoria, IL 61614-4894
Mailing Address4930 N Executive Dr, Suite BPeoria, IL 61614-4894 · (309) 683-6002 · Fax (309) 683-6007
Phone(309) 683-6002
Fax(309) 683-6007
Organization SubpartNo
Authorized OfficialYang XieOwner · (309) 636-7302
Enumeration DateDecember 20, 2006
Last NPPES UpdateApril 20, 2009
✔ NPI 1699839985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036114042
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4930 N EXECUTIVE DR, Peoria, IL 61614
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Other Identifiers 3

Medicare UPINI44462IL
Medicare PIN214777IL
Medicaid036114042IL

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 4

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

SYED MASOOD ALI, MDSC
General Practice
4930 N EXECUTIVE DR
PEORIA, IL 61614
Peoria County (309) 692-7575
DR. SYED MASOOD ALI M.D.
Family Medicine
4930 N EXECUTIVE DR
PEORIA, IL 61614
Peoria County (309) 691-3707
MAQBOOL B ALI M.D
Surgery
4930 N EXECUTIVE DR
PEORIA, IL 61614
Peoria County (309) 692-7575
GREATER PEORIA OBSTETRICS & GYNECOLOGY CORP SC
Specialist
4930 N EXECUTIVE DR
PEORIA, IL 61614
Peoria County (309) 671-8749

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 Integrative Medical Center Ltd's NPI number?

The NPI number for Peoria Integrative Medical Center Ltd is 1699839985. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Peoria Integrative Medical Center Ltd located?

Peoria Integrative Medical Center Ltd is located at 4930 N Executive Dr Suite B, Peoria, IL 61614. The listed phone number is (309) 683-6002.

What is Peoria Integrative Medical Center Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peoria Integrative Medical Center Ltd was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.