PEORIA HAND SURGERY LLC NPI 1255721502

NPI Information

  • NPI: 1255721502
  • Provider Name: PEORIA HAND SURGERY, LLC
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Organization
  • Address: 5401 N KNOXVILLE AVE
    SUITE 107
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 693-3970

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NPI Details

PEORIA HAND SURGERY, LLC is a hand surgery orthopaedic surgery in Peoria, IL. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. PEORIA HAND SURGERY, LLC NPI is 1255721502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 107
PEORIA, IL
ZIP 61614-098
Phone: (309) 693-3970
Fax: (309) 693-3971

The provider's authorized official is Gregory J Adamson .
The authorized official title is President and has the following contact phone number (309) 693-3970.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 4/29/2016.

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
1207XS0106XOrthopaedic SurgeryHand Surgery036089935ILLINOISYes

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
1F67076MEDICARE UPINILLINOIS
236089935MEDICAIDILLINOIS
3L34918MEDICARE PINILLINOIS

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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