Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Family Medicine SC

Organization Primary Care Clinic/Center · NPI 1659409290

Eagle Family Medicine SC is a Primary Care Clinic/Center in Peoria, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2809 W Willow Knolls Ste C
Peoria, IL 61614-8259
Phone: (309) 692-6604
Fax: (309) 692-6492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1659409290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bevill — Physician President · (309) 692-6604
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 10, 2008
Mailing address2809 W Willow Knolls Suite C, Peoria, IL 61614-8259

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