Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Parent organization
THE CARLE FOUNDATION
Other names
CARLE HEALTH LACON
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CARLE FOUNDATION
Authorized official
ARON KLEIN (VP FINANCE)
(309) 268-2410
Entity
Organization
Contact information
Practice address
1112 5TH ST, LACON, IL 61540-1353
(309) 246-2416
(309) 246-3574
Mailing address
221 NE GLEN OAK AVE, GOMP100, PEORIA, IL 61636-0001
(309) 672-4874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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