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

University of Illinois

Organization Pediatric Critical Care Medicine Physician · NPI 1205807187

University of Illinois is a Pediatric Critical Care Medicine Physician in Peoria, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

530 NE Glen Oak Ave Dept OF Pediatric Critical Care
Peoria, IL 61637-0001
Phone: (309) 655-2250
Show map & directions

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

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X

Record details

NPI number1205807187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Nicholas — Executive Director Msp · (312) 413-0573
Other names Medical Service Plan At Peoria
NPI enumeratedJanuary 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1 Illini Dr, Peoria, IL 61605-2576

Other providers in Peoria