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

Myron B Stachniw, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1114911377

Myron B Stachniw, MD is a Sports Medicine (Family Medicine) Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
3
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

6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3197
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036049846 (IL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 036049846 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 36049846 (IL)

Record details

NPI number1114911377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2005
Last updated in NPPESAugust 1, 2022
Certification dateJune 20, 2022

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