# METHODIST MEDICAL CENTER OF ILLINOIS

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

## Provider details

- **NPI number:** 1164474755
- **Authorized official:** KEITH KNEPP DO (CEO)
- **Authorized official phone:** (309) 671-2528

## Contact information

- **Practice address:** 221 NE GLEN OAK AVE, PEORIA, IL 61636
- **Practice address phone:** (309) 672-5522
- **Mailing address:** 221 NE GLEN OAK AVE, GOMP 100, PEORIA, IL 61636-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0001594 | IL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/28/2023