Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEORIA EAR, NOSE AND THROAT GROUP, S.C.
NPI 1952380628
Otolaryngology in Peoria, IL

Q: What is Peoria Ear, Nose And Throat Group, S.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since January 11, 2006

7301 N KNOXVILLE AVE, PEORIA, IL 61614(309) 589-5900(309) 689-0312 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Dec 4, 2023, Aug 22, 2020 (3 updates tracked since 2020).

On this page

About Peoria Ear, Nose And Throat Group, S.c. NPPES

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

PEORIA EAR, NOSE AND THROAT GROUP, S.C. (NPI 1952380628) is a healthcare organization registered as an otolaryngology in Peoria, Illinois and active in the NPI registry since January 2006. The organization lists Tyler Robertson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1952380628

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NamePEORIA EAR, NOSE AND THROAT GROUP, S.C.

Location Address7301 N KNOXVILLE AVEPeoria, IL 61614-2017

Mailing Address7301 N Knoxville AvePeoria, IL 61614-2017 · (309) 589-5900 · Fax (309) 689-0312

Phone(309) 589-5900

Fax(309) 689-0312

Organization SubpartNo

Authorized OfficialTyler RobertsonChief Executive Officer · (309) 589-8051

Enumeration DateJanuary 11, 2006

Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1952380628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in IL · 042000742

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedHearing Instrument SpecialistTaxonomy 237700000X

7301 N KNOXVILLE AVE, Peoria, IL 61614

Open in Google Maps ↗

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

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.

MRS. HOLLY J DEMICHELIS MA

Audiologist-Hearing Aid Fitter