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

Dr. Renaldo A Jacques, MD

Individual provider Family Medicine Physician · NPI 1477528974

Dr. Renaldo A Jacques, MD is a Family Practice in Peoria, Illinois. Graduated from University of Arizona College of Medicine in 1988, 38 years ago. Practices with Proctor Health Systems, a 132-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
38
Trained at
University of Arizona College of Medicine
Licensed in
IL
In the registry since
2006
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

2321 N Wisconsin Ave
Peoria, IL 61603-3172
Phone: (309) 680-7600
Fax: (309) 676-5506
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 036081670 (IL)

Record details

NPI number1477528974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESDecember 28, 2011
Mailing address1701 W. Garden Street, Heartland Community Health Clinic, Peoria, IL 61605-3531

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Proctor Health Systems — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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