Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Illinois Gastroenterology Institute, PLLC

Organization Gastroenterology Physician · NPI 1275575706

Illinois Gastroenterology Institute, PLLC provides Gastroenterology Physician services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Main St Ste 500A
Peoria, IL 61606-1907
Phone: (309) 672-4980
Fax: (309) 671-2944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 042006270 (IL)

Record details

NPI number1275575706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Shadley — Administrator · (309) 672-4980
Other names Gastroenterology, Ltd; Gastroenterology, Ltd
NPI enumeratedJune 11, 2006
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing addressPo Box 365, Morton, IL 61550-0365

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