| Illinois Gastroenterology Institute, PLLC | |
|
1001 Main St Suite 500a Peoria IL 61606-1907 | |
| (309) 672-4980 | |
| (309) 671-2944 |
| Full Name | Illinois Gastroenterology Institute, PLLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1001 Main St, Peoria, Illinois |
| Authorized Official Name and Position | Mike Shadley (ADMINISTRATOR) |
| Authorized Official Contact | 3096724980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Gastroenterology Institute, PLLC Po Box 365 Morton IL 61550-0365 Ph: (309) 672-4980 | Illinois Gastroenterology Institute, PLLC 1001 Main St Suite 500a Peoria IL 61606-1907 Ph: (309) 672-4980 |
| NPI Number | 1275575706 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275575706 | NPI | - | NPPES |
| 07215152 | Other | IL | BLUE CROSS |
| CE0700 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 042006270 (Illinois) | Primary |
Endocrine & Diabetes, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 W Chartwell Rd, Peoria, IL 61614 Phone: 309-691-7640 Fax: 309-691-7640 |
Orland Park Orthopedics - Ottawa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Mcclure Ave, Peoria, IL 61604 Phone: 309-419-8996 Fax: 309-966-3928 |
Planned Parenthood of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Ne Jefferson St., Peoria, IL 61603 Phone: 309-673-6911 Fax: 309-673-6914 |
Mjm Family Medicine SC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Main St Ste 500, Peoria, IL 61602 Phone: 309-672-4470 Fax: 309-672-4471 |
Michael D. Cashman, M.D., S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 490, Peoria, IL 61602 Phone: 309-671-8313 Fax: 309-671-8740 |
Proctor Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614 Phone: 309-689-6049 Fax: 309-689-6092 |