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ILLINOIS VALLEY PODIATRY
NPI 1750506846
Podiatrist in Peoria, IL

Active since April 16, 2007
3322 W WILLOW KNOLLS, PEORIA, IL 61614(309) 691-5800(309) 691-1336 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Valley Podiatry NPPES

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

ILLINOIS VALLEY PODIATRY (NPI 1750506846) is a healthcare organization registered as a podiatrist in Peoria, Illinois and active in the NPI registry since April 2007. The organization lists Thomas Kevin Brattain, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1750506846
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameILLINOIS VALLEY PODIATRY GROUP PC
Location Address3322 W WILLOW KNOLLSPeoria, IL 61614
Mailing Address3322 W Willow KnollsPeoria, IL 61614 · (309) 691-5800 · Fax (309) 691-1336
Phone(309) 691-5800
Fax(309) 691-1336
Organization SubpartNo
Authorized OfficialThomas Kevin BrattainPodiatrist · (309) 691-5800
Enumeration DateApril 16, 2007
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1750506846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3322 W WILLOW KNOLLS, Peoria, IL 61614
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Other Names 1

Other NameIllinois Valley Podiatry

Other Identifiers 4

Medicare UPIN928270
OtherCM5560IL · Railroad Medicare
Medicare NSC0515580002IL
Other0007215174IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Illinois Valley Podiatry Group PC's NPI number?

The NPI number for Illinois Valley Podiatry Group PC is 1750506846. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is also known as Illinois Valley Podiatry.

Where is Illinois Valley Podiatry Group PC located?

Illinois Valley Podiatry Group PC is located at 3322 W Willow Knolls, Peoria, IL 61614. The listed phone number is (309) 691-5800.

What is Illinois Valley Podiatry Group PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Illinois Valley Podiatry Group PC was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.