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

University of Illinois

Organization Obstetrics & Gynecology Physician · NPI 1962475996

University of Illinois is an Obstetrics & Gynecology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Dept Of OB / GYN 530 NE Glen Oak
Peoria, IL 61637-0001
Phone: (309) 655-3024
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)

Record details

NPI number1962475996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Nicholas — Executive Dircetor Of Msp · (312) 413-0573
Other names Medical Service Plan At Peoria
NPI enumeratedFebruary 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1 Illini Dr, Peoria, IL 61605-2576

Other providers in Peoria