Methodist Medical Center of Illinois

NPI #1366031452 in Peoria, Illinois

Provider Information

NPI Number
1366031452
Entity Type
Organization
Organization Name
Methodist Medical Center of Illinois
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 13, 2021
Last Updated
Jan 13, 2021

Practice Location

Address
221 NE GLEN OAK AVE
City
Peoria
ZIP Code
61636-0002
Phone
(309) 672-4911

Authorized Official

Name
DR. KEITH KNEPP, M.D.
Title
CEO
Phone
(309) 671-2528

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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