ILLINOIS SURGICAL SPECIALISTS, LTD (NPI# 1215170246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215170246 |
| Entity Type | Organization |
| Organization Name | ILLINOIS SURGICAL SPECIALISTS, LTD |
| Practice Address |
7725 N Knoxville Ave Peoria IL 61614-2079 |
| Practice Telephone | 3094950240 |
| Practice Fax Number | 3096899035 |
| Mailing Telephone | 3094950240 |
| Mailing Fax Number | 3096899035 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | DR. ANDY C CHIOU (PRESIDENT) |
| Authorized Official Telephone | 3094950240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
7725 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184646317 | Robert Adams | Family Medicine | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2006-07-24 |
| 1033497581 | Mariola Kabat | Clinical Nurse Specialist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2011-08-02 |
| 1164700183 | Jessica L Secor | Surgery | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2011-07-25 |
| 1154512291 | Sue Willis | Physical Therapy Assistant | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-08-05 |
| 1700077849 | Rhonda Heaton | Physical Therapy Assistant | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-08-05 |
| 1467571547 | Melissa Larson | Speech-Language Pathologist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-03-28 |
| 1316066582 | Brandi Osborn | Speech-Language Pathologist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-03-28 |
| 1801932496 | Lanae L Huang | Physical Therapist | 7725 N Knoxville Ave, Lower Level, Peoria, IL 61614-2079 | 2007-01-30 |
| 1538210869 | Alison A Salisbury | Physical Therapist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-01-15 |
| 1174539761 | John Miller | Family Medicine | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1033151162 | Eric T Elwood | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-12 |
| 1720597065 | Jason Daniel Johnson, Pllc | Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2017-09-28 |
| 1184895765 | Reid Hansen, M.d. | Surgery | 900 Main St, Suite 500, Peoria, IL 61602-1005 | 2008-03-21 |
| 1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.