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

University of Illinois

Organization Internal Medicine Physician · NPI 1255301909

University of Illinois is an Internal 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 Internal Medicine
Peoria, IL 61637-0001
Phone: (309) 655-3292
Fax: (309) 655-7732
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1255301909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Nicholas — Ex Director Of Medical Service Plan · (312) 413-0573
Other names Medical Service Plan @ Peoria
NPI enumeratedJanuary 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1 Illini Dr, Peoria, IL 61605-2576

Other providers in Peoria