Organization Active NPI

Streator Medical Services, PC

  • Internal Medicine Physician
  • Streator, IL
National Provider Identifier
1144432790
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X IL
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.