An Honorable Living
Specialty details in registry · Peoria, IL
At a glance
1209 N Douglas St, Peoria, IL 61606-1304
NPPES record updated Sep 3, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1209 N Douglas StPeoria, IL 61606-1304
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 253Z00000X
- Enumeration date
- Sep 3, 2026
- Record updated
- Sep 3, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
253Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1209 N Douglas StPeoria, IL 61606-1304
- Phone
- (309) 256-4051
Mailing address
1209 N DOUGLAS STPEORIA, IL 616061304
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue