METHODIST MEDICAL CENTER OF ILLINOIS NPI 1184670663

NPI Information

  • NPI: 1184670663
  • Provider Name: METHODIST MEDICAL CENTER OF ILLINOIS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: METHODIST MEDICAL GROUP
  • Address: 120 NE GLEN OAK AVE
    SUITE 101
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 671-8230

Map and Directions

Get Directions

NPI Details

METHODIST MEDICAL CENTER OF ILLINOIS 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. METHODIST MEDICAL CENTER OF ILLINOIS NPI is 1184670663. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Methodist Medical Group.

The provider's business location address is:

120 NE GLEN OAK AVE
SUITE 101
PEORIA, IL
ZIP 61603
Phone: (309) 671-8230
Fax: (309) 671-5118

The provider's authorized official is Stephen M. Cirone .
The authorized official title is Regional Mgr-reimb/rev Recognition and has the following contact phone number (309) 672-4813.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/14/2020.

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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RI0011XInternal MedicineInterventional CardiologyNo
6207RR0500XInternal MedicineRheumatologyNo
7207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
8208000000XPediatricsNo
9208100000XPhysical Medicine & RehabilitationNo
102084N0400XPsychiatry & NeurologyNeurologyNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
122084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No

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
17215059OTHERILLINOISBCBS PPO

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