Methodist Medical Center of Illinois

NPI #1609685189 in Peoria, Illinois

Provider Information

NPI Number
1609685189
Entity Type
Organization
Organization Name
Methodist Medical Center of Illinois
Primary Specialty
Nurse Practitioner - School
Enumeration Date
Dec 30, 2024
Last Updated
Dec 30, 2024

Practice Location

Address
6301 N UNIVERSITY ST
City
Peoria
ZIP Code
61614-3453
Phone
(309) 692-6650

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - SchoolSchool

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