Organization · Type 2 NPI

Methodist Medical Center of Illinois

School Nurse Practitioner · Peoria, IL

NPI number 1780191437 Active

Practice location

1615 N North St
Peoria, IL 61604-4131

Call (309) 252-1020 Map

Fax (309) 281-1337

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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NPI record

NPI: 1780191437
Entity type: Organization (Type 2)
Issued: Jan 3, 2018
Last updated: Feb 14, 2020
Status: Active

Other names

<unavail>
MMG In School Health Peoria High · doing business as
MMG In School Health Peoria High · doing business as

Authorized official

Stephen M. Cirone
Regional Mgr-Reimb/rev Recognition
(309) 672-4813

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780191437

Methodist Medical Center of Illinois's National Provider Identifier is 1780191437, issued on Jan 3, 2018. 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.