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

Neuropsychology Clinic PC

Organization Clinical Neuropsychologist · NPI 1659553444

Neuropsychology Clinic PC provides Clinical Neuropsychologist services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 N Dries Ln Ste 303
Peoria, IL 61604-1265 Not confirmed with CMS for 13 years — call before visiting
Phone: (309) 686-9005
Fax: (309) 686-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071004929 (IL)

Record details

NPI number1659553444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Kurth — Office Manager · (309) 686-9005
NPI enumeratedDecember 4, 2007
Last updated in NPPESMay 20, 2013
Mailing address3100 N Dries Ln, Ste 303, Peoria, IL 61604-1265

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