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MEDICAL SERVICE PLAN AT PEORIA
NPI 1962475996
Obstetrics & Gynecology in Peoria, IL

Active since February 09, 2006
DEPT. OF OB / GYN, 530 NE GLEN OAK, PEORIA, IL 61637(309) 655-3024 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Service Plan At Peoria NPPES

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

MEDICAL SERVICE PLAN AT PEORIA (NPI 1962475996) is a healthcare organization registered as an obstetrics & gynecology in Peoria, Illinois and active in the NPI registry since February 2006. The organization lists William R Nicholas, Executive Dircetor Of Msp, as its authorized official.

NPPES Registry Identity

NPI1962475996
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameUNIVERSITY OF ILLINOIS
Location AddressDEPT. OF OB / GYN, 530 NE GLEN OAKPeoria, IL 61637-0001
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-8503
Phone(309) 655-3024
Organization SubpartNo
Authorized OfficialWilliam R NicholasExecutive Dircetor Of Msp · (312) 413-0573
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962475996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

DEPT. OF OB / GYN, Peoria, IL 61637
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Other Names 1

Doing Business AsMedical Service Plan At Peoria

Other Identifiers 1

Other07215036IL · Bcbs

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 University Of Illinois's NPI number?

The NPI number for University Of Illinois is 1962475996. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as Medical Service Plan At Peoria.

Where is University Of Illinois located?

University Of Illinois is located at Dept. Of Ob / Gyn 530 NE Glen Oak, Peoria, IL 61637. The listed phone number is (309) 655-3024.

What is University Of Illinois's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for University Of Illinois was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.