# PROCTOR COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134826894
- **Authorized official:** DR. KEITH KNEPP D.O. (CEO)
- **Authorized official phone:** (309) 671-2528

## Contact information

- **Practice address:** 5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
- **Practice address phone:** (309) 691-1000
- **Mailing address:** 5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
- **Mailing address phone:** (309) 691-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2023
- **Last updated:** 02/13/2023