Methodist Medical Center of Illinois

NPI #1780191437 in Peoria, Illinois

Provider Information

NPI Number
1780191437
Entity Type
Organization
Organization Name
Methodist Medical Center of Illinois
Primary Specialty
Nurse Practitioner - School
Enumeration Date
Jan 3, 2018
Last Updated
Feb 14, 2020

Practice Location

Address
1615 N NORTH ST
City
Peoria
ZIP Code
61604-4131
Phone
(309) 252-1020

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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