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

Dr. George Kenneth Shotick Jr., MD

Individual provider Family Medicine Physician · NPI 1104941657

Dr. George Kenneth Shotick Jr., MD is a Family Medicine Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

228 NE Jefferson Ave
Peoria, IL 61603-3802
Phone: (309) 671-8000
Fax: (309) 671-4695
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-059533 (IL)

Record details

NPI number1104941657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESFebruary 15, 2016

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