# ILLINOIS SURGICAL SPECIALISTS, LTD

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

## Provider details

- **NPI number:** 1215170246
- **Authorized official:** DR. ANDY C CHIOU M.D. (PRESIDENT)
- **Authorized official phone:** (309) 495-0240

## Contact information

- **Practice address:** 7725 N KNOXVILLE AVE, PEORIA, IL 61614-2079
- **Practice address phone:** (309) 495-0240
- **Practice address fax:** (309) 689-9035
- **Mailing address:** 7725 N KNOXVILLE AVE, PEORIA, IL 61614-2079
- **Mailing address phone:** (309) 495-0240
- **Mailing address fax:** (309) 689-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 05/27/2025