Pentus Health Wylie Limited

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PENTUS HEALTH WYLIE LIMITED

Practice address

448 Wylie Dr
Normal, IL 61761-5405

Phone

(844) 973-6887

NPI assigned

Nov 21, 2025

Organization subpart

No

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

Authorized official

Name

Ivan Reyes

Title

Chief Operations Officer

Phone

(407) 756-3474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1174484745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897217",
            "telephone_number": "844-973-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 WYLIE DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615405",
            "telephone_number": "844-973-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTUS HEALTH WYLIE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "407-756-3474"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole C Pauley, CST/CSFA
• Jean Pe, MD
• Kennady Pearson
• Meredith Renee Peebles
• Marlon Pemberton
• Pentus Health Wylie LLC
• Ross David Percell, DO
• Kent Petersen, RN
• Jamie D Peterson, ST
• Kyle Petit, ATC

• Family Medicine Physician in Normal, IL
• Providers in Normal, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.