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

Proctor Health Systems

Organization Ambulatory Surgical Clinic/Center · NPI 1720223837

Proctor Health Systems is an Ambulatory Surgical Clinic/Center in Peoria, Illinois. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

5401 N Knoxville Ave Ste 217
Peoria, IL 61614-5098
Phone: (309) 691-1092
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1720223837
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProctor Health Systems
Authorized official Denise Brinker — System Analyst · (390) 689-6089
Other names Proctor Medical Group Surgery - C K Song Md
NPI enumeratedDecember 4, 2008
Last updated in NPPESDecember 4, 2008
Mailing address5401 N Knoxville Ave, Ste 209, Peoria, IL 61614-5098

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