Active NPI
Streator Medical Services, PC
- Internal Medicine Physician
- Streator, IL
National Provider Identifier
1144432790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STREATOR MEDICAL SERVICES, PC
- Practice address
- 409 E Bridge St
Streator, IL 61364-2915 - Phone
- (815) 672-5500
- Fax
- (815) 673-5522
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joni Luckey, RNC
- Title
- Shareholder
- Phone
- (815) 672-5500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | ||
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
409 E Bridge St
Streator, IL 61364-2915
Mailing address
409 E Bridge St
Streator, IL 61364-2915
Phone (815) 672-5500
National Provider Directory
National Provider DirectoryLocations
409 E Bridge St
Streator, IL 61364
Phone (815) 672-5500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1457326787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1144432790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E BRIDGE ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613642915",
"telephone_number": "815-672-5500",
"fax_number": "815-673-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E BRIDGE ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613642915",
"telephone_number": "815-672-5500",
"fax_number": "815-673-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STREATOR MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LUCKEY",
"authorized_official_first_name": "JONI",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "815-672-5500",
"authorized_official_credential": "RNC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.