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STREATOR CHILDREN'S CLINIC
NPI 1720453202
Specialist in Streator, IL

Active since December 09, 2015
111 SPRING ST FL 5, STREATOR, IL 61364(815) 673-2353(815) 673-2486 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Streator Children's Clinic NPPES

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

STREATOR CHILDREN'S CLINIC (NPI 1720453202) is a healthcare organization registered as a specialist in Streator, Illinois and active in the NPI registry since December 2015. The organization lists Keady Gillman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720453202
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTREATOR CHIDLRENS CLINIC
Location Address111 SPRING ST FL 5Streator, IL 61364-3332
Mailing Address111 Spring St Fl 5Streator, IL 61364-3332 · (815) 673-2353 · Fax (815) 673-2486
Phone(815) 673-2353
Fax(815) 673-2486
Organization SubpartNo
Authorized OfficialKeady GillmanOffice Manager · (815) 673-2353
Enumeration DateDecember 9, 2015
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1720453202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036091951
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
111 SPRING ST FL 5, Streator, IL 61364
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Other Names 1

Other NameStreator Children's Clinic

Other Identifiers 1

Medicaid036091951IL

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 Streator Chidlrens Clinic's NPI number?

The NPI number for Streator Chidlrens Clinic is 1720453202. It was assigned to this organization in the NPPES registry on December 9, 2015. The provider is also known as Streator Children's Clinic.

Where is Streator Chidlrens Clinic located?

Streator Chidlrens Clinic is located at 111 Spring St Fl 5, Streator, IL 61364. The listed phone number is (815) 673-2353.

What is Streator Chidlrens Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Streator Chidlrens Clinic was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.