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

Proctor Community Hospital

Organization Rehabilitation Clinic/Center · NPI 1457679581

Proctor Community Hospital is a Rehabilitation Clinic/Center in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone: (309) 691-1000
Fax: (309) 671-8265
Show map & directions

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

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence 0001925 (IL)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X · Licence 1927324 (IL)

Record details

NPI number1457679581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Simon — President/Ceo · (309) 672-5928
Other names Proctor Hospital; Proctor Hospital
NPI enumeratedMay 13, 2010
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address5409 N Knoxville Ave, Peoria, IL 61614-5069

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