Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Other names
Carle Health Peoria In School Health Richwoods
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH KNEPP M.D. (PRESIDENT)
(309) 671-2528
Entity
Organization
Contact information
Practice address
6301 N UNIVERSITY ST, PEORIA, IL 61614-3453
(309) 692-6650
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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