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

The Antioch Group, Inc

Organization Psychologist · NPI 1801993142

The Antioch Group, Inc is a Psychologist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2451
Phone: (309) 692-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071-004483 (IL)

Record details

NPI number1801993142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Wilson — Credentialing/Billing Specialist · (309) 692-6622
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address6615 N. Big Hollow Rd., Peoria, IL 61615-2451

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