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INTERNAL MEDICINE GROUP OF PEORIA SC
NPI 1972507747
Internal Medicine in Peoria, IL

Active since June 09, 2005
200 E PENNSYLVANIA AVE, STE 105, PEORIA, IL 61603(309) 655-7888 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Internal Medicine Group Of Peoria Sc NPPES

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

INTERNAL MEDICINE GROUP OF PEORIA SC (NPI 1972507747) is a healthcare organization registered as an internal medicine in Peoria, Illinois and active in the NPI registry since June 2005. The organization lists James W Bauer, President, as its authorized official.

NPPES Registry Identity

NPI1972507747
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE GROUP OF PEORIA SC
Location Address200 E PENNSYLVANIA AVE, STE 105Peoria, IL 61603-3045
Mailing Address200 E Pennsylvania Ave, Ste 105Peoria, IL 61603-3045 · (309) 655-7888
Phone(309) 655-7888
Organization SubpartNo
Authorized OfficialJames W BauerPresident · (309) 655-7888
Enumeration DateJune 9, 2005
Last NPPES UpdateSeptember 5, 2007
✔ NPI 1972507747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 E PENNSYLVANIA AVE, Peoria, IL 61603
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Other Identifiers 1

Medicare ID-Type Unspecified215840IL

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 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 Internal Medicine Group Of Peoria Sc's NPI number?

The NPI number for Internal Medicine Group Of Peoria Sc is 1972507747. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Internal Medicine Group Of Peoria Sc located?

Internal Medicine Group Of Peoria Sc is located at 200 E Pennsylvania Ave Ste 105, Peoria, IL 61603. The listed phone number is (309) 655-7888.

What is Internal Medicine Group Of Peoria Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Internal Medicine Group Of Peoria Sc was last updated on September 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.