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

Dr. Marc Douglas Knepp, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568686277

Dr. Marc Douglas Knepp, MD is a Cardiovascular Disease (Cardiology) in Peoria, Illinois. Qualified in 2004, 22 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
22
Licensed in
IL, MI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 NE Glen Oak Ave Ste 301
Peoria, IL 61603-3105
Phone: (309) 655-3456
Fax: (309) 655-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 238-4960

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 036-129846 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301083662 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301083662 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301083662 (MI)

Record details

NPI number1568686277
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022
Mailing address420 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-3105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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