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GREATER PEORIA OBSTETRICS & GYNECOLOGY CORP SC
NPI 1912129271
Specialist in Peoria, IL

Active since May 03, 2007
4930 N EXECUTIVE DR, PEORIA, IL 61614(309) 671-8749(309) 671-8749 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greater Peoria Obstetrics & Gynecology Corp Sc NPPES

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

GREATER PEORIA OBSTETRICS & GYNECOLOGY CORP SC (NPI 1912129271) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since May 2007. The organization lists Judy Mueller, Manager, as its authorized official.

NPPES Registry Identity

NPI1912129271
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREATER PEORIA OBSTETRICS & GYNECOLOGY CORP SC
Location Address4930 N EXECUTIVE DRPeoria, IL 61614-4894
Mailing Address4930 N Executive DrPeoria, IL 61614-4894 · (309) 692-7575
Phone(309) 671-8749
Fax(309) 671-8749
Organization SubpartNo
Authorized OfficialJudy MuellerManager · (309) 692-7575
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 1, 2015
✔ NPI 1912129271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 03658850
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.
4930 N EXECUTIVE DR, Peoria, IL 61614
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Other Identifiers 3

Other212742IL · Medicare Group Number
Medicare PIN212742
Medicare UPINC44669IL

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
PEORIA INTEGRATIVE MEDICAL CENTER LTD
Family Medicine
4930 N EXECUTIVE DR, SUITE B
PEORIA, IL 61614
Peoria County (309) 683-6002
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

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 Greater Peoria Obstetrics & Gynecology Corp Sc's NPI number?

The NPI number for Greater Peoria Obstetrics & Gynecology Corp Sc is 1912129271. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Greater Peoria Obstetrics & Gynecology Corp Sc located?

Greater Peoria Obstetrics & Gynecology Corp Sc is located at 4930 N Executive Dr, Peoria, IL 61614. The listed phone number is (309) 671-8749.

What is Greater Peoria Obstetrics & Gynecology Corp Sc'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 Greater Peoria Obstetrics & Gynecology Corp Sc was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.