Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Parent organization
METHODIST MEDICAL CENTER OF ILLINOIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official
STEPHEN CIRONE (REGIONAL MGR-REIMB/REV RECOGNITION)
(309) 672-4813
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-4813
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0001594
IL
Other
Enumeration date
05/16/2006
Last updated
02/14/2020
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