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

Methodist Medical Center of Illinois

Organization School Nurse Practitioner · NPI 1124305636

Methodist Medical Center of Illinois provides School Nurse Practitioner services in Peoria, Illinois. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

811 S Griswold St
Peoria, IL 61605-1458
Phone: (309) 685-8390
Show map & directions

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

Specialties & licences

School Nurse Practitioner (primary) Taxonomy 363LS0200X

Record details

NPI number1124305636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Cirone — Regional Mgr-Reimb/Rev Recognition · (309) 672-4813
NPI enumeratedNovember 11, 2011
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5100 Reliable Pkwy, Chicago, IL 60686-0051

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