Methodist Medical Center of Illinois

NPI #1265966048 in Peoria, Illinois

Provider Information

NPI Number
1265966048
Entity Type
Organization
Organization Name
Methodist Medical Center of Illinois
Subpart
Yes (part of a larger organization)
Parent Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Primary Specialty
Clinic/Center - Emergency Care
Enumeration Date
Apr 18, 2017
Last Updated
Feb 14, 2020

Practice Location

Address
221 NE GLEN OAK AVE
City
Peoria
ZIP Code
61636-0001
Phone
(309) 672-5522

Authorized Official

Name
STEPHEN M. CIRONE
Title
REGIONAL MGR-REIMB/REV RECOGNITION
Phone
(309) 672-4813

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Emergency CareEmergency Care

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