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

Dalton Rea

Individual provider Physician Assistant · NPI 1336974476

Dalton Rea is a Physician Assistant in Peoria, Illinois. Qualified in 2024, 2 years ago. Practices with Proctor Health Systems, a 132-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

3335 N Sterling Ave
Peoria, IL 61604-1837
Phone: (309) 687-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010753 (IL)

Record details

NPI number1336974476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proctor Health Systems — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Peoria