Methodist Medical Center of Illinois

NPI #1790737385 in Peoria, Illinois

Provider Information

NPI Number
1790737385
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
Hospice Care, Community Based
Enumeration Date
May 16, 2006
Last Updated
Feb 14, 2020

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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