Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Parent organization
METHODIST MEDICAL CENTER OF ILLINOIS
Other names
Methodist Emergency Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official
DR. KEITH KNEPP MD (CEO)
(309) 671-2528
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 # GOMP100, PEORIA, IL 61636-0001
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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