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Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Parent organization
METHODIST MEDICAL CENTER OF ILLINOIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official
STEPHEN M. CIRONE (REGIONAL MGR-REIMB/REV RECOGNITION)
(309) 672-4813
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
IL
Other
Enumeration date
04/18/2017
Last updated
02/14/2020
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