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

Methodist Medical Center of Illinois

Organization Family Medicine Physician · NPI 1407174873

Methodist Medical Center of Illinois is a Family Medicine Physician in Lacon, Illinois. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

1112 5th St
Lacon, IL 61540
Phone: (309) 246-2676
Fax: (309) 246-3574
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1407174873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Cirone — Regional Mgr-Reimb/Rev Recognition · (309) 672-4813
Other names Methodist Medical Group At Lacon
NPI enumeratedMay 11, 2010
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5100 Reliable Pkwy, Chicago, IL 60686-0001

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