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Contact Information

METHODIST MEDICAL CENTER OF ILLINOIS
6301 N UNIVERSITY ST
PEORIA, IL61614-3453
 Phone: 309-692-6650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for METHODIST MEDICAL CENTER OF ILLINOIS

NPI # 1609685189
LBN Legal business name METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official KEITH KNEPP - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2024
Last updated 12/30/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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