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PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
NPI 1720223837
Clinic/Center - Ambulatory Surgical in Peoria, IL

Active since December 04, 2008
5401 N KNOXVILLE AVE, STE 217, PEORIA, IL 61614(309) 691-1092 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Proctor Medical Group Surgery - C K Song Md NPPES

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

PROCTOR MEDICAL GROUP SURGERY - C K SONG MD (NPI 1720223837) is a healthcare organization registered as an ambulatory surgical in Peoria, Illinois and active in the NPI registry since December 2008. The organization lists Denise Brinker, System Analyst, as its authorized official.

NPPES Registry Identity

NPI1720223837
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROCTOR HEALTH SYSTEMS
Location Address5401 N KNOXVILLE AVE, STE 217Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Ste 209Peoria, IL 61614-5098 · (309) 691-1092 · Fax (309) 689-6092
Phone(309) 691-1092
Organization SubpartYes
Authorized OfficialDenise BrinkerSystem Analyst · (390) 689-6089
Enumeration DateDecember 4, 2008
✔ NPI 1720223837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5401 N KNOXVILLE AVE, Peoria, IL 61614
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Other Names 1

Doing Business AsProctor Medical Group Surgery - C K Song Md

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.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

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 Proctor Health Systems's NPI number?

The NPI number for Proctor Health Systems is 1720223837. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Proctor Medical Group Surgery - C K Song MD.

Where is Proctor Health Systems located?

Proctor Health Systems is located at 5401 N Knoxville Ave Ste 217, Peoria, IL 61614. The listed phone number is (309) 691-1092.

What is Proctor Health Systems's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Proctor Health Systems was last updated on December 4, 2008. 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.