Individual provider Active NPI

Mourad Alnatour, MD

  • Pediatrics Physician
  • Peoria, IL
National Provider Identifier
1891734257
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036114965 Issued in IL
Practice address
7801 N Knoxville Ave
Peoria, IL 61614-2076
Phone
(309) 692-6088
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036114965 IL Primary
Hospitalist Physician 208M00000X 036114965 IL

Addresses

Primary practice location

7801 N Knoxville Ave
Peoria, IL 61614-2076

Mailing address

5100 Reliable Parkway
Chicago, IL 60686-0001
Phone (309) 692-6088

Other practice location 1

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Other identifiers 1

IdentifierTypeStateIssuer
7215059OtherILBCBS PPO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address malnatour84720@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000039 IL Practitioner - Pediatric Medicine 0941203483 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036114965ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Dec 11, 2024 Accepting new patients
Pekin Prohealth Inc Pediatrics CurrentSince Jul 22, 2020 Accepting new patients
Methodist Medical Center of Illinois Pediatrics CurrentSince Jul 22, 2020 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 22, 2020 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 29, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 22, 2020 Accepting new patients
Proctor Health Systems CurrentSince Jul 22, 2020 Accepting new patients
Proctor Health Systems CurrentSince Jul 22, 2020 Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 W Jackson St
Carbondale, IL 62901

5100 Reliable Pkwy
Chicago, IL 60686
Phone (309) 672-4809

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

600 S 13th St
#D
Pekin, IL 61554
Phone (309) 353-7500

7801 N Knoxville Ave
Peoria, IL 61614
Phone (309) 692-6088

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: malnatour84720@sih.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1891734257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "309-692-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142076",
            "telephone_number": "309-692-6088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-529-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALNATOUR",
        "first_name": "MOURAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036114965",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036114965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "7215059",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malnatour84720@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.