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

Internal Medicine Group of Peoria SC

Organization Internal Medicine Physician · NPI 1972507747

Internal Medicine Group of Peoria SC is an Internal Medicine Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

200 E Pennsylvania Ave Ste 105
Peoria, IL 61603-3045
Phone: (309) 655-7888
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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)

Record details

NPI number1972507747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Bauer — President · (309) 655-7888
NPI enumeratedJune 9, 2005
Last updated in NPPESSeptember 5, 2007
Mailing address200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045

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