METHODIST MEDICAL CENTER OF ILLINOIS


Address: 221 Ne Glen Oak Ave, Peoria, IL 61636-0001
Phone: 3096724887

METHODIST MEDICAL CENTER OF ILLINOIS (NPI# 1821043365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821043365
Entity Type Organization
Organization Name METHODIST MEDICAL CENTER OF ILLINOIS
Practice Address 221 Ne Glen Oak Ave
Peoria
IL 61636-0001
Practice Telephone 3096724887
Practice Fax Number 3096712541
Mailing Telephone 3096725522
Mailing Fax Number 3096712541
Enumeration Date 2006-05-23
Last Update Date 2019-12-13
Authorized Official Name STEPHEN M. CIRONE (REGIONAL MGR-REIMB/REV RECOGNITION)
Authorized Official Telephone 3096724813
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 0001594 IL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS PROVIDER NUM. 9960 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780191437 Methodist Medical Center of Illinois Nurse Practitioner 1615 N North St, Peoria, IL 61604-4131 2018-01-03
1629355060 Methodist Medical Center of Illinois Nurse Practitioner 2702 W Krause Ave, Peoria, IL 61605-2905 2011-11-14
1124305636 Methodist Medical Center of Illinois Nurse Practitioner 811 S Griswold St, Peoria, IL 61605-1458 2011-11-11
1184670663 Methodist Medical Center of Illinois Emergency Medicine 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 2006-05-26
1265966048 Methodist Medical Center of Illinois Clinic/Center 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2017-04-18
1447537881 Methodist Medical Center of Illinois Nurse Practitioner 1419 S Folkers Ave, Peoria, IL 61605 2011-11-14
1326366790 Methodist Medical Center of Illinois Clinic/Center 525 S Sweetbriar Dr, Chillicothe, IL 61523 2010-05-11
1407174873 Methodist Medical Center of Illinois Clinic/Center 1112 5th St, Lacon, IL 61540 2010-05-11
1942528310 Methodist Medical Center of Illinois Clinic/Center 223 E Main St, Princeville, IL 61559 2010-05-11
1710198379 Methodist Medical Center of Illinois Nurse Practitioner 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2007-05-25

Office Location

Street Address 221 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61636-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851384135 John Alan Howerton Pharmacist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2005-08-23
1437750130 Vanezza Buendia Physical Therapist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-11-08
1306443056 Austyn Powers Nurse Practitioner 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-10-06
1396357091 Christopher Legan Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-08-24
1417575853 Joseph Babione Psychologist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-07-13
1811512411 Methodist Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-06-10
1760003230 Alexandra Bryan Dietitian, Registered 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-05-06
1467080523 Dustin Dariusz Pilat Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-5027 2020-04-01
1295363505 Abigail Brea Sebald Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
1790313054 Elizabeth Alexandra Edwards Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
1326288812 Bradley Reatherford Registered Nurse 221 Northeast Ave, Peoria, IL 61636-0001 2009-02-24
1386784155 Eric Hawkins Anesthesiology 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 2007-02-08
1386659241 Central Illinois Radiological Associates, Ltd. Radiology Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 2006-07-29
1659345007 Mary C Bruell Social Worker Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-14
1245203280 University of Illinois Psychiatry & Neurology Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-09
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174166540 Albright Oakmont Inc Home Health 7501 N University St Ste 137, Peoria, IL 61614-1299 2019-10-18
1336702281 New Heights Healthcare Services LLC Home Health 26237 N 122nd Dr, Peoria, AZ 85383-5935 2019-04-16
1316434483 Exclusive Home Health Care Pllc Home Health 9440 W Peoria Ave Unit B, Peoria, AZ 85345-6316 2018-04-15
1679092522 Our Family To Yours Home Health Care, LLC. Home Health 16165 N 83rd Ave Ste 223, Peoria, AZ 85382-5818 2017-09-12
1538686761 Billet Home Health Inc - Peoria Home Health 6718 W Greenway Rd Ste 208, Peoria, AZ 85381-4582 2017-08-28
1033509096 Freedom Valley Services LLC Home Health 7186 W Desert Mirage Dr, Peoria, AZ 85383-6679 2015-01-29
1912316837 Century Lake Home Health Home Health 6960 W Peoria Ave, #153, Peoria, AZ 85345-6023 2014-08-05
1083039499 Va Health Care Group Inc Home Health 6718 W Greenway Rd, Suite 208, Peoria, AZ 85381-4583 2014-02-21
1679841902 Vickie R Thompson Home Health 30120 N 72nd Ave, Peoria, AZ 85383 2011-12-01
1821329160 A Caring Solution Home Care Home Health 31210 N 132nd Ln, Peoria, AZ 85383-7872 2010-01-27
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Competitor

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City PEORIA
Zip Code 61636

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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