ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC (NPI# 1528205069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528205069 |
| Entity Type | Organization |
| Organization Name | ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC |
| Practice Address |
719 N William Kumpf Blvd Suite 100 Peoria IL 61605-2530 |
| Practice Telephone | 3096760766 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | JAMES M MOORE (CEO) |
| Authorized Official Telephone | 3096552850 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSF HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841447653 | Illinois Neurological Institute-physicians LLC | Clinic/Center | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2008-08-22 |
| Street Address |
719 N WILLIAM KUMPF BLVD SUITE 100 |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| 1649820218 | Osf Multi-specialty Group | Preventive Medicine | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2019-09-16 |
| 1285113282 | Cole Uebelhor | Physical Therapist | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2018-08-09 |
| 1871039388 | Osf Healthcare System | Preventive Medicine | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2017-01-09 |
| 1548651490 | Julie Deibel | Registered Nurse | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605-2530 | 2015-02-13 |
| 1972933711 | April Mcintyre | Occupational Therapy Assistant | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2013-11-14 |
| 1720326069 | Diana L France | Clinical Nurse Specialist | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2013-01-22 |
| 1194006635 | Sarah B Beam | Nurse Practitioner | 719 N William Kumpf Blvd, Peoria, IL 61605-2525 | 2011-08-29 |
| 1780813758 | Saint Francis Medical Center | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605-2530 | 2009-07-10 |
| 1952560500 | Jianxun Zhou | Physical Medicine & Rehabilitation | 719 N William Kumpf Blvd, Ste 100, Peoria, IL 61605-2530 | 2008-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1639148356 | William G Nulty | Pediatrics | One Illini Dr, Medical Service Plan, Peoria, IL 61605 | 2006-03-15 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690112 | Sg Mechanical LLC | Durable Medical Equipment & Medical Supplies | 8550 N 91st Ave Ste E-51, Peoria, AZ 85345-8311 | 2020-02-11 |
| 1285272435 | Margaret A. Withrow, Dpm, PC | Durable Medical Equipment & Medical Supplies | 13660 N 94th Dr Ste A3, Peoria, AZ 85381-4836 | 2019-12-18 |
| 1003462581 | Bump Boxes, Inc | Durable Medical Equipment & Medical Supplies | 7719 N Pioneer Ln, Peoria, IL 61615-1910 | 2019-08-12 |
| 1023663010 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 9151 W Thunderbird Rd Ste 104, Peoria, AZ 85381-4906 | 2019-08-06 |
| 1851943286 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 14131 N Rio Vista Blvd Ste 7, Peoria, AZ 85381-4917 | 2019-07-16 |
| 1093370108 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 1800 N Knoxville Ave Ste 104, Peoria, IL 61603-3028 | 2019-05-03 |
| 1023584810 | Homestead Orthotics LLC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd Ste 187, Peoria, AZ 85381-4210 | 2018-10-18 |
| 1326552977 | Triage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 10434 W Redbird Rd, Peoria, AZ 85383-3578 | 2017-11-17 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1144695883 | Game Day Medical, LLC | Durable Medical Equipment & Medical Supplies | 3004 W Playden Dr, Peoria, IL 61615-7505 | 2015-12-07 |
| Find all providers in PEORIA | ||||
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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.