Proctor Community Hospital

Specialty details in registry · Peoria, IL

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At a glance

5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021

NPPES record updated Feb 24, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

5401 N Knoxville Ave Ste 104
Peoria, IL 61614-5021
Professional details: NPI, taxonomy & registry record
NPI1861026478
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QE0700X
Enumeration date
Feb 24, 2020
Record updated
Feb 24, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QE0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5401 N Knoxville Ave Ste 104
Peoria, IL 61614-5021
Phone
(309) 643-6205
Fax
(309) 999-5722
Mailing address
5401 N KNOXVILLE AVE STE 104

PEORIA, IL 616145021
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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