Methodist Medical Center of Illinois

NPI #1447537881 in Peoria, Illinois

Provider Information

NPI Number
1447537881
Entity Type
Organization
Organization Name
Methodist Medical Center of Illinois
Primary Specialty
Nurse Practitioner - School
Enumeration Date
Nov 14, 2011
Last Updated
Feb 14, 2020

Practice Location

Address
1419 S FOLKERS AVE
City
Peoria
ZIP Code
61605
Phone
(309) 685-8390

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - SchoolSchool

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