Children'S Hospital of Illinois Medical Group

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP

Practice address

420 NE Glen Oak Ave
Ste 301
Peoria, IL 61603-3105

Phone

(309) 655-3453

NPI assigned

May 24, 2013

Organization subpart

Yes

Parent organization

OSF HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Kevin D Schoeplein

Title

Ceo

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Part of

Eastland Med Plaza Surg

Locations

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1386081792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE GLEN OAK AVE",
            "address_2": "STE 301",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033255",
            "telephone_number": "309-655-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE",
            "address_2": "STE 301",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033105",
            "telephone_number": "309-655-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "SCHOEPLEIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Home Association of Illinois
• Children'S Home Association of Illinois
• Children'S Home Association of Illinois
• Children'S Home Association of Illinois
• Children'S Hospital of Illinois
• Praise Tochukwu Chineyemba
• Preethi Likhitha Chintagunta, MD
• Alexander T Chiou, HIS
• Andy C. Chiou, MD
• Wun San Chiou, DDS

• Pediatric Cardiology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.