Methodist Medical Center Of Illinois

LBN: Methodist Medical Center Of Illinois
Methodist Medical Center Of Illinois is an health care organization with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Methodist Medical Center Of Illinois can be contacted via phone (309) 672-5522, or through Knepp, Keith via phone (309) 671-2528.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636
Phone: (309) 672-5522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Knepp, Keith Doctor of Osteopathy (DO)
Phone: (309) 671-2528

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 0001594 Illinois

Profile Details

NPI number 1164474755
LBN Legal business name Methodist Medical Center Of Illinois
DBA Doing business as
Authorized official Knepp, Keith Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Mar 28th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164474755 NPPES
Illinois Other 0116 BLUE CROSS PROV. NUMBER

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