Organization · Type 2 NPI

Methodist Medical Center of Illinois

Family Medicine Physician · Peoria, IL

NPI number 1184670663 Active

Practice location

120 NE Glen Oak Ave, Suite 101
Peoria, IL 61603

Fax (309) 671-5118

Mailing address

5100 Reliable Pkwy
Chicago, IL 60686-0051

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Geriatric Medicine (Internal Medicine) Physician 207RG0300XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Rheumatology Physician 207RR0500XNone listed
Maternal & Fetal Medicine Physician 207VM0101XNone listed
Pediatrics Physician 208000000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

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About NPI 1184670663

Methodist Medical Center of Illinois's National Provider Identifier is 1184670663, issued on May 26, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 14, 2020.