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

Illinois Valley Primary Care, Ltd

Organization Internal Medicine Physician · NPI 1851582928

Illinois Valley Primary Care, Ltd is an Internal Medicine Physician in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1209 Starfire Dr #4
Ottawa, IL 61350-1614
Phone: (815) 434-4900
Fax: (815) 434-2765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (IL)

Record details

NPI number1851582928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Miesner — Owner/Physician · (815) 434-4900
NPI enumeratedAugust 5, 2007
Last updated in NPPESOctober 2, 2007
Mailing address1209 Starfire Dr, 4, Ottawa, IL 61350-1614

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