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CARDINAL MEDICAL GROUP, LTD.
NPI 1992829485
Clinic/Center - Multi-Specialty in Peoria, IL

Active since March 19, 2007
6339 N BIG HOLLOW RD, PEORIA, IL 61615(309) 693-3315(309) 693-9385 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cardinal Medical Group, Ltd. NPPES

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

CARDINAL MEDICAL GROUP, LTD. (NPI 1992829485) is a healthcare organization registered as a multi-specialty in Peoria, Illinois and active in the NPI registry since March 2007. The organization lists Michael A Shadley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992829485
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCARDINAL MEDICAL GROUP, LTD.
Location Address6339 N BIG HOLLOW RDPeoria, IL 61615-2907
Mailing Address6339 N Big Hollow RdPeoria, IL 61615-2907 · (309) 693-3315 · Fax (309) 693-9385
Phone(309) 693-3315
Fax(309) 693-9385
Organization SubpartNo
Authorized OfficialMichael A ShadleyAdministrator · (309) 693-8611
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992829485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6339 N BIG HOLLOW RD, Peoria, IL 61615
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY VANNITAMBY DO
Internal Medicine
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3315
DR. HENRY ANTHONY SAN GERMAN M.D.
Family Medicine
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3315
MARY AMAL KHOURY HARVEY MD
Pediatrics
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 691-3315
CASEY WATERS APRN, CNP
Nurse Practitioner (Family)
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3315
DR. HEATHER LEE DOEBLER MCCARTHY D.O.
Pediatrics
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3377
DR. LESLIE E JOHNSON M.D.
Family Medicine
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3315
AMANDA LYNN LAHOOD APRN, CNP
Nurse Practitioner (Family)
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 693-3315
VICTORIA M DAILEY
Nurse Practitioner (Family)
6339 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 655-2000

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 Cardinal Medical Group, Ltd.'s NPI number?

The NPI number for Cardinal Medical Group, Ltd. is 1992829485. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Cardinal Medical Group, Ltd. located?

Cardinal Medical Group, Ltd. is located at 6339 N Big Hollow Rd, Peoria, IL 61615. The listed phone number is (309) 693-3315.

What is Cardinal Medical Group, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Cardinal Medical Group, Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.