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 61636-0001. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Methodist Medical Center Of Illinois can be contacted via phone (309) 672-4887, or through Cirone, Stephen M. via phone (309) 672-4813.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Phone: (309) 672-4887
Fax: (309) 671-2541
Website:
Map and Directions
Authorized official contact:
Name: Cirone, Stephen M.
Phone: (309) 672-4813

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 0001594 Illinois

Profile Details

NPI number 1821043365
LBN Legal business name Methodist Medical Center Of Illinois
DBA Doing business as
Authorized official Cirone, Stephen M.
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Dec 13th, 2019 - about 5 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 1821043365 NPPES
Illinois Other 9960 BLUE CROSS PROVIDER NUM.

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