Proctor Health Systems
Organization Active NPI Rural Health Clinic/Center · Chillicothe, IL
NPI 1619683836 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1619683836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PROCTOR HEALTH SYSTEMS
- Practice address
- 525 S Sweetbriar Dr
Chillicothe, IL 61523-2264 - Phone
- (309) 274-2102
- Fax
- (309) 274-3555
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Keith Knepp, DO
- Title
- Ceo
- Phone
- (309) 671-2528
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Dec 1, 2025 | Change of Ownership |
Carle Health Chillicothe |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Mailing address
221 NE Glen Oak Ave # Gomp100
Peoria, IL 61636-0001
Phone (309) 672-4874
Other names
- Carle Health Chillicothe
Other providers in Chillicothe, IL
- Joshua Travis Murphy
- Naperville Health Clinic, S.C.
- Christopher William Nau
- Sean Lawrence Nolph
- Julia Kishanie Persaud
- Proctor Health Systems
- Professional Therapy Services, Inc.
- Azizur Rehman
- Restoring Hope Counseling, LLC
- Lori A Richard
All providers in Chillicothe, IL · Rural Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.