Organization · Type 2 NPI

Methodist Medical Center of Illinois

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Peoria, IL

NPI number 1336051259 Active

Practice location

5401 N Knoxville Ave Ste 104
Peoria, IL 61614-5021

Call (309) 643-6205 Map

Fax (309) 999-5722

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1336051259

Methodist Medical Center of Illinois's National Provider Identifier is 1336051259, issued on Sep 17, 2026. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Peoria, IL. The record was last updated on Sep 17, 2026.