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

Methodist Medical Center of Illinois

Organization Anesthesiology Physician · NPI 1710198379

Methodist Medical Center of Illinois is an Anesthesiology Physician in Peoria, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 672-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1710198379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Cirone — Regional Mgr-Reimb/Rev Recognition · (309) 672-4813
Other names Methodist Anesthesia Services; Methodist Anesthesia Services
NPI enumeratedMay 25, 2007
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5271 Reliable Pkwy, Chicago, IL 60686-0001

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