Methodist Medical Center of Illinois

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

METHODIST MEDICAL CENTER OF ILLINOIS

Doing business as

Methodist Medical Group at Lacon

Practice address

1112 5TH St
Lacon, IL 61540

Phone

(309) 246-2676

Fax

(309) 246-3574

NPI assigned

May 11, 2010

Last updated

Feb 14, 2020By 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

Stephen M. Cirone

Title

Regional MGR-Reimb/Rev Recognition

Phone

(309) 672-4813

Specialties & licenses 2

Addresses

Other names 1

• Methodist Medical Group at Lacon Doing business as

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1407174873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 5TH ST",
            "city": "LACON",
            "state": "IL",
            "postal_code": "61540",
            "telephone_number": "309-246-2676",
            "fax_number": "309-246-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST MEDICAL CENTER OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "CIRONE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGIONAL MGR-REIMB/REV RECOGNITION",
        "authorized_official_telephone_number": "309-672-4813"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Medical Group at Lacon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacon Rehab and Nursing LLC
• Lacon Sparland Emergency 52 (Lacon Sparland Emergency Ambulance Service)
• Marshall County Health Department
• Beth Ann McKee, D.C.
• Methodist Medical Center of Illinois (Carle Health Lacon)
• Midland Community Unit 7
• Niri Corp
• North Central Behavioral Health Systems, Inc
• Tracy Jo Parsh, D.C.
• Proctor Health Systems (Carle Health Lacon)

• Family Medicine Physician in Lacon, IL
• Providers in Lacon, 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 Feb 14, 2020; 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.