Organization · Type 2 NPI
Methodist Medical Center of Illinois
School Nurse Practitioner · Peoria, IL
NPI number
1124305636
Active
Practice location
811 S Griswold St
Peoria, IL 61605-1458
Mailing address
5100 Reliable Pkwy
Chicago, IL 60686-0051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Nurse Practitioner Primary | 363LS0200X | None listed |
School Nurse Practitioner: Definition to come...
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About NPI 1124305636
Methodist Medical Center of Illinois's National Provider Identifier is 1124305636, issued on Nov 11, 2011. The primary taxonomy on file is School Nurse Practitioner (363LS0200X), and the practice location is in Peoria, IL. The record was last updated on Feb 14, 2020.