PROCTOR HEALTH SYSTEMS NPI 1134173917

NPI Information

  • NPI: 1134173917
  • Provider Name: PROCTOR HEALTH SYSTEMS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5401 N KNOXVILLE AVE
    SUITE 209
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 689-6049

Map and Directions

Get Directions

NPI Details

PROCTOR HEALTH SYSTEMS is a family medicine in Peoria, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROCTOR HEALTH SYSTEMS NPI is 1134173917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 209
PEORIA, IL
ZIP 61614-098
Phone: (309) 689-6049
Fax: (309) 689-6092

The provider's authorized official is Carrie Chiaravalle .
The authorized official title is Director and has the following contact phone number (309) 689-6049.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredNo
2207R00000XInternal MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
4208200000XPlastic SurgeryNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1242904MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2CD8123OTHERILLINOISRAILROAD MEDICARE
3CD8124OTHERILLINOISRAILROAD MEDICARE
4242900MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5242902MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
6242903MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
77232122OTHERILLINOISBC BS OF ILLINOIS
8242901MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI