National Provider Identifier Database

METHODIST MEDICAL CENTER OF ILLINOIS
School


Contact Information

METHODIST MEDICAL CENTER OF ILLINOIS
6301 N UNIVERSITY ST
PEORIA, IL61614-3453
Phone: 309-692-6650
Fax:
Website:
Specialty Taxonomy Code
* School 363LS0200X

* Indicates primary specialty

NPI Profile & details for METHODIST MEDICAL CENTER OF ILLINOIS

NPI Number 1609685189
Legal business name
LBN
METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official KEITH KNEPP - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/30/2024
Last updated 12/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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