Active NPI
Inspirit Health PC
- General Practice Physician
- Peoria, IL
National Provider Identifier
1689079238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036-079920
- Legal business name
- INSPIRIT HEALTH PC
- Practice address
- 6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861 - Phone
- (309) 740-3744
- NPI assigned
- Oct 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glen N Feather, D.O.
- Title
- President
- Phone
- (309) 740-3744
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007890 | IL | |
| General Practice Physician | 208D00000X | 036-079920 | IL | Primary |
| General Practice Physician | 208D00000X | 036-114669 | IL |
Addresses
Primary practice location
6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861
Mailing address
6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861
Phone (309) 740-3744
Other names 1
- LifePlus MD
National Provider Directory
National Provider DirectoryLocations
6811 N Knoxville Ave
Ste A
Peoria, IL 61614
Phone (309) 692-5337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414108800000",
"number": "1689079238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 N KNOXVILLE AVE",
"address_2": "STE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142861",
"telephone_number": "309-740-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 N KNOXVILLE AVE",
"address_2": "STE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142861",
"telephone_number": "309-740-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRIT HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A",
"authorized_official_last_name": "FEATHER",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-740-3744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007890",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": "036-079920",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": "036-114669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifePlus MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, IL
- Thomas F Ingersoll, MD
- Natalie Christine Ingle, APRN NNP-BC
- Mary Elizabeth Inman, RN
- Inner Spirit Chiropractic Inc
- Inspire Counseling and Wellness
- Institute of Physical and Medicine Rehabilitation
- Institute of Physical Medicine and Rehabilitation
- Integramed Medical Illinois, LLC
- Integrated Wellness
- Interim Healthcare of Downstate Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.