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

Streator Chidlrens Clinic

Organization Specialist · NPI 1720453202

Streator Chidlrens Clinic is a Specialist in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

111 Spring St Fl 5
Streator, IL 61364-3332
Phone: (815) 673-2353
Fax: (815) 673-2486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036091951 (IL)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1720453202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keady Gillman — Office Manager · (815) 673-2353
Other names Streator Children'S Clinic
NPI enumeratedDecember 9, 2015
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address111 Spring St Fl 5, Streator, IL 61364-3332

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