The Citadel of Forsyth, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE CITADEL OF FORSYTH, LLC

Doing business as

Citadel of Forsyth

Practice address

565 W Marion Ave
Forsyth, IL 62535-1070

Phone

(217) 872-5899

Fax

(217) 875-0599

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcella Graf

Title

Cfo

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

Other names 1

• Citadel of Forsyth Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1104725753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W LUNT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122615",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W MARION AVE",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625351070",
            "telephone_number": "217-872-5899",
            "fax_number": "217-875-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CITADEL OF FORSYTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "565 W Marion Ave",
            "city": "Forsyth",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625351070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Citadel of Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly A Sheppard, D.C.
• Pooja Sheth-Dutt, MD
• Joshua Shoemaker, DC
• Blake Eugene Stelzriede, ATC
• Stephanie Sueann Stivers, CNP
• Jaclyn Thompson, LCPC
• Toofan Medical Holdings, LTD (Central Illinois Urgent Care)
• TP Health TX PC (TP Health TX)
• Stacy Anne Twenhafel, O.D.
• Krishna Vaghasia

• Skilled Nursing Facility in Forsyth, IL
• Providers in Forsyth, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.