Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH KNEPP M.D. (CEO)
(309) 671-2528
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-4911
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-4911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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