NPI 1275583155

Methodist Medical Center of Illinois

Organisation Psychiatric Hospital Unit Peoria, IL

Practice location

Address: 221 NE Glen Oak Ave, Peoria, IL 61636-0001
Phone: (309) 672-5522
Fax: (309) 671-2541

Authorised official

Name: Stephen M. Cirone
Title: Regional Mgr-Reimb/Rev Recognition
Phone: (309) 672-4813

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 0001594 (IL)

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Registry record

NPI: 1275583155
Entity type: Organization
NPI issued: 11 May 2006
Record last updated: 14 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.