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

Methodist Medical Center of Illinois

Organization School Nurse Practitioner · NPI 1124305636

Methodist Medical Center of Illinois is a School Nurse Practitioner in Peoria, Illinois. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

811 S Griswold St
Peoria, IL 61605-1458
Phone: (309) 685-8390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Nurse Practitioner (primary) Taxonomy 363LS0200X

Record details

NPI number1124305636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Cirone — Regional Mgr-Reimb/Rev Recognition · (309) 672-4813
NPI enumeratedNovember 11, 2011
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5100 Reliable Pkwy, Chicago, IL 60686-0051

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