NPIMap

Organization Active NPI

Preferred Emergency Physicians of Illinois, LLC

  • Emergency Medicine Physician
  • Pekin, IL
National Provider Identifier
1912286576
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC
Practice address
600 S 13TH St
Pekin, IL 61554-4936
Phone
(309) 347-1151
NPI assigned
Aug 12, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Sister Diane Marie McGrew, O.S.F
Title
President
Phone
(309) 655-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

600 S 13TH St
Pekin, IL 61554-4936

Mailing address

800 NE Glen Oak Ave
Peoria, IL 61603-3255
Phone (309) 655-2850

National Provider Directory

National Provider Directory
Part of
Eastland Med Plaza Surg

Member of 1

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

Locations

7095 Solutions Ctr
#7
Chicago, IL 60677

7095 Solutions Ctr
#777095
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 7

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": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1912286576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033255",
            "telephone_number": "309-655-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-347-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "SISTER DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-655-2850",
        "authorized_official_credential": "O.S.F"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.