Organization · Type 2 NPI
Methodist Medical Center of Illinois
School Nurse Practitioner · Peoria, IL
NPI number
1629355060
Active
Practice location
2702 W Krause Ave
Peoria, IL 61605-2905
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 1629355060
Methodist Medical Center of Illinois's National Provider Identifier is 1629355060, issued on Nov 14, 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.