1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Physician Assistant
  6. NPI Profile

CYNTHIA K. DICKINSON
NPI 1952491284
Physician Assistant - Medical in Peoria, IL

Active since October 16, 2006
200 E PENNSYLVANIA AVE, PEORIA, IL 61603(309) 655-7900(309) 655-7903 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia K. Dickinson NPPES

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

CYNTHIA K. DICKINSON (NPI 1952491284) is an individual medical provider in Peoria, Illinois, licensed in Illinois (041141001/209001084) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952491284
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCYNTHIA K. DICKINSON
Location Address200 E PENNSYLVANIA AVEPeoria, IL 61603-3089
Mailing Address200 E Pennsylvania AvePeoria, IL 61603-3089 · (309) 655-7900 · Fax (309) 655-7903
Phone(309) 655-7900
Fax(309) 655-7903
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952491284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 041141001/209001084
200 E PENNSYLVANIA AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified952320IL · Individual #
Medicare UPINS69904
Medicare ID-Type UnspecifiedK36908IL · Individual # (eff 5-22-07
Medicare ID-Type Unspecified809840IL · Group #
Medicare ID-Type UnspecifiedCA4079IL · Rr 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.

DR. DOUGLAS JUVINALL MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. CAROLINE MARIE RAYBURN AUD
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. JOHN W HSU MD
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
DEAN A GRAVLIN M.D.
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Peoria County (309) 655-7888
FREDERICK HORVATH MD
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
MRS. EVANNE M IHNKEN PA-C
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
KAVYA MORAVINENI MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
LOAN T NGUYEN APN, CNP
Nurse Practitioner
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000

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 Cynthia Dickinson's NPI number?

The NPI number for Cynthia Dickinson is 1952491284. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Cynthia Dickinson located?

Cynthia Dickinson practices at 200 E Pennsylvania Ave, Peoria, IL 61603. The listed phone number is (309) 655-7900.

What is Cynthia Dickinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Cynthia Dickinson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.