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

Illinois Valley Podiatry Group PC

Organization Podiatrist · NPI 1750506846

Illinois Valley Podiatry Group PC is a Podiatrist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3322 W Willow Knolls
Peoria, IL 61614
Phone: (309) 691-5800
Fax: (309) 691-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Foot Surgery Podiatrist Taxonomy 213ES0131X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (IL)

Record details

NPI number1750506846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Brattain — Podiatrist · (309) 691-5800
Other names Illinois Valley Podiatry
NPI enumeratedApril 16, 2007
Last updated in NPPESFebruary 21, 2013
Mailing address3322 W Willow Knolls, Peoria, IL 61614

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