NPIMap

Organization Active NPI

Illinois Neurological Institute-Physicians LLC

  • Neurological Surgery Physician
  • Peoria, IL
National Provider Identifier
1841447653
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC
Practice address
200 E Pennsylvania Ave
Peoria, IL 61603-3089
Phone
(309) 624-4000
Fax
(309) 624-4010
NPI assigned
Aug 22, 2008
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
James M Moore
Title
Ceo
Phone
(309) 655-2850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Mailing address

200 E Pennsylvania Ave
Peoria, IL 61603-3089
Phone (309) 624-4000

National Provider Directory

National Provider Directory
Part of
Osf Healthcare System

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

1954 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 544-7400

1019 Charleston Ave E
Mattoon, IL 61938
Phone (217) 505-5050

612 35th Ave
Moline, IL 61265
Phone (309) 764-6767

2200 Fort Jesse Rd
Ste 220
Normal, IL 61761
Phone (309) 664-3130

2200 Fort Jesse Rd
Unit C
Normal, IL 61761
Phone (309) 661-6230

1404 Aquarius Cir
Ste B
Ottawa, IL 61350
Phone (815) 434-0629

303 N William Kumpf Blvd
Peoria, IL 61605
Phone (309) 676-5546

5144 N GLN Park PL
Peoria, IL 61614

530 NE Glen Oak Ave
Fl 6
Peoria, IL 61637

530 NE Glen Oak Ave
Ste 1200
Peoria, IL 61637
Phone (309) 624-7811

719 N William Kumpf Blvd
Ste 300
Peoria, IL 61605
Phone (309) 495-4530

2011 Rock St
#D
Peru, IL 61354
Phone (815) 223-7861

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1841447653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-624-4000",
            "fax_number": "309-624-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-624-4000",
            "fax_number": "309-624-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2008-08-22",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.