NPIMap

Organization Active NPI

Planned Parenthood of Illinois

  • Clinic/Center
  • Peoria, IL
National Provider Identifier
1083020911
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANNED PARENTHOOD OF ILLINOIS
Practice address
705 NE Jefferson St.
Peoria, IL 61603-3843
Phone
(309) 673-6911
Fax
(309) 673-6914
NPI assigned
Jul 11, 2014
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erika R Gonzalez
Title
Credentialing Coordinator
Phone
(312) 592-6892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

705 NE Jefferson St.
Peoria, IL 61603-3843

Mailing address

17 N State St Ste 500
Chicago, IL 60602-3384
Phone (312) 592-6800

Other identifiers 1

IdentifierTypeStateIssuer
36170901001MedicaidIL

Other names 1

  • Planned Parenthood Chicago Area Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Illinois20 organizations share this tax ID, including this one
Part of
Planned Parenthood of Illinois

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

705 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 673-0907

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1083020911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N STATE ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023384",
            "telephone_number": "312-592-6800",
            "fax_number": "312-592-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NE JEFFERSON ST.",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033843",
            "telephone_number": "309-673-6911",
            "fax_number": "309-673-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF ILLINOIS",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "312-592-6892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36170901001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Chicago Area",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Planned Parenthood Chicago Area",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.