PROEHL MEDICINE PLLC NPI 1225948912

NPI Information

  • NPI: 1225948912
  • Provider Name: PROEHL MEDICINE, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 419 MAXINE DR
    MORTON, IL
    ZIP 61550
  • Phone: (309) 220-5840

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NPI Details

PROEHL MEDICINE, PLLC is a general practice in Morton, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PROEHL MEDICINE, PLLC NPI is 1225948912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

419 MAXINE DR
MORTON, IL
ZIP 61550-495
Phone: (309) 220-5840
Fax: (309) 204-8162

The provider's authorized official is Trent Proehl .
The authorized official title is Physician/owner and has the following contact phone number (309) 220-5840.

The enumeration date for this NPI number is 9/8/2026 and was last updated on 9/8/2026.

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
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeYes

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: 11/21/2025

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