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

Holly Vannitamby, DO

Individual provider Internal Medicine Physician · NPI 1053831214

Holly Vannitamby, DO is a Family Practice in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6339 N Big Hollow Rd
Peoria, IL 61615-2907
Phone: (309) 693-3315
Fax: (309) 693-9385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036150954 (IL)

Record details

NPI number1053831214
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing address815 Main St Ste A, Peoria, IL 61602-1080

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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