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Methodist Medical Center Of Illinois
Home Health Agency in Peoria, Illinois
NPI 1821043365

Methodist Medical Center Of Illinois is a Home Health Agency based in Peoria, IL. Methodist Medical Center Of Illinois practices in Peoria, IL. The NPI Number for Methodist Medical Center Of Illinois is 1821043365 and holds a License No. 0001594 (Illinois).

The current practice location address for Methodist Medical Center Of Illinois is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-672-4887 and via fax at 309-671-2541.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821043365
Provider Name
Methodist Medical Center Of Illinois
Credential
Provider Entity Type
Organization
Address
221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Phone Number
309-672-4887
Fax Number
309-671-2541
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9960 01 IL BLUE CROSS PROVIDER NUM.
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-4887
Fax Number
309-671-2541
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-4887
Fax Number
309-671-2541
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0001594 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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