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

Peoria Obstetrics & Gynecology of Central Illinois

Organization Obstetrics & Gynecology Physician · NPI 1659672129

Peoria Obstetrics & Gynecology of Central Illinois is an Obstetrics & Gynecology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

900 Main St Ste 660
Peoria, IL 61602-1060
Phone: (309) 687-4230
Fax: (309) 687-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)

Record details

NPI number1659672129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Clark — Administrator · (309) 687-4242
NPI enumeratedNovember 15, 2010
Last updated in NPPESNovember 15, 2010
Mailing address900 Main St Ste 660, Peoria, IL 61602-1060

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