# METHODIST MEDICAL CENTER OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METHODIST MEDICAL CENTER OF ILLINOIS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982656575
- **Legal business name:** METHODIST MEDICAL CENTER OF ILLINOIS
- **Authorized official:** STEPHEN CIRONE (REGIONAL MGR-REIMB/REV RECOGNITION)
- **Authorized official phone:** (309) 672-4813

## Contact information

- **Practice address:** 221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
- **Practice address phone:** (309) 672-4813
- **Mailing address:** 221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
- **Mailing address phone:** (309) 672-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 0001594 | IL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 02/14/2020