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

Methodist Medical Center of Illinois

Organization Emergency Medicine Physician · NPI 1184670663

Methodist Medical Center of Illinois is an Emergency Medicine Physician in Peoria, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
13
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Practice location Address checks out

120 NE Glen Oak Ave Ste 101
Peoria, IL 61603
Phone: (309) 671-8230
Fax: (309) 671-5118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Interventional Cardiology Physician Taxonomy 207RI0011X
Rheumatology Physician Taxonomy 207RR0500X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1184670663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Cirone — Regional Mgr-Reimb/Rev Recognition · (309) 672-4813
Other names Methodist Medical Group
NPI enumeratedMay 26, 2006
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5100 Reliable Pkwy, Chicago, IL 60686-0051

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