Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integramed Medical Illinois, LLC

Organization Reproductive Endocrinology Physician · NPI 1396169280

Integramed Medical Illinois, LLC provides Reproductive Endocrinology Physician services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5401 N Knoxville Ave Ste 102
Peoria, IL 61614-5098 Not confirmed with CMS for 12 years — call before visiting
Phone: (309) 689-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X (IL)

Record details

NPI number1396169280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Satish Vayuvegula — Presiden And Secretary · (309) 689-0411
NPI enumeratedFebruary 12, 2014
Last updated in NPPESFebruary 24, 2014
Mailing address5401 N Knoxville Ave, Suite 102, Peoria, IL 61614-5098

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