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

Greater Peoria Obstetrics & Gynecology Corp SC

Organization Specialist · NPI 1912129271

Greater Peoria Obstetrics & Gynecology Corp SC is a Specialist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4930 N Executive Dr
Peoria, IL 61614-4894
Phone: (309) 671-8749
Fax: (309) 671-8749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 03658850 (IL)

Record details

NPI number1912129271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Mueller — Manager · (309) 692-7575
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 1, 2015
Mailing address4930 N Executive Dr, Peoria, IL 61614-4894

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