Methodist Medical Center of Illinois

NPI #1326765694 in Peoria, Illinois

Provider Information

NPI Number: 1326765694
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: Emergency Medicine
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

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

Authorized Official

Name: DR. KEITH KNEPP, MD
Title: CEO
Phone: (309) 671-2528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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