Cardinal Medical Group, LTD.
Organization Active NPI Multi-Specialty Clinic/Center · Peoria, IL
NPI 1992829485 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992829485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CARDINAL MEDICAL GROUP, LTD.
- Practice address
- 6339 N Big Hollow Rd
Peoria, IL 61615-2907 - Phone
- (309) 693-3315
- Fax
- (309) 693-9385
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael A Shadley
- Title
- Administrator
- Phone
- (309) 693-8611
Practitioners 208
-
Alyssa M Aguilar, FNP-C
-
Carrie Goodrum Alexander, FNP-C
-
Teressa Alexander, M.D.
-
Abdulhamid H Alkhalaf, M.D.
-
Abdulah Alrifai, M.D.
-
Rachel A Amsbaugh, APN
-
Amy Arellanes, APRN, CNP
-
Tiffany Ashby-Funches, APN, FNP-BC
-
Jessica Bara, APRN, CNP
-
Mara Layne Bessine, NP-C
-
Anna Bida-Dudun, M.D.
-
Tamra Brisbin, PA
-
Cha-Ga Bullock, FNP-BC
-
Misty Dawn Buskohl, APRN, CNP
-
Taylor B Carroll, APRN, CNP
-
Rebecca Elizabeth Casey, APRN
-
Usman A Cheema, MD
National Provider Directory
Locations (25 of 109)
710 College Ave
Alton, IL 62002
305 Joe Dr E
Amboy, IL 61310
Phone (815) 857-3044
210 Saint Joseph Dr
Ste 2
Bloomington, IL 61701
1603 Tullamore Ave
Ste A
Bloomington, IL 61704
Phone (309) 808-6407
1003 N Rivian Mtwy
Bloomington, IL 61705
1001 Rivian Mtwy
Ste 1100
Bloomington, IL 61705
7945 S Harlem Ave
Burbank, IL 60459
Phone (708) 422-7100
2710 N Prospect Ave
Champaign, IL 61822
Phone (217) 337-3852
7601 S Cicero Ave
Unit P0A
Chicago, IL 60652
10961 S Kedzie Ave
Chicago, IL 60655
Phone (773) 239-9100
707 N Logan Ave
#1267
Danville, IL 61832
812 N Logan Ave
#12627
Danville, IL 61832
812 N Logan Ave
Ste 130
Danville, IL 61832
800 N Logan Ave
Danville, IL 61832
Phone (217) 431-4080
215 E 1st St
Ste 121
Dixon, IL 61021
102 S Hennepin Ave
Ste 103
Dixon, IL 61021
Phone (815) 284-7733
144 North Ct
Dixon, IL 61021
Phone (815) 284-7733
215 E 1st St
#215
Dixon, IL 61021
215 E 1st St
Ste 214
Dixon, IL 61021
Phone (815) 226-4990
102 S Hennepin Ave
Ste 102
Dixon, IL 61021
215 E 1st St
Ste 326
Dixon, IL 61021
Phone (815) 285-5800
215 E 1st St
Ste 310
Dixon, IL 61021
Phone (815) 285-5801
102 S Hennepin Ave
Ste 130
Dixon, IL 61021
107 Watters Dr
Dwight, IL 60420
Phone (815) 584-3343
105 S John St
Dwight, IL 60420
Phone (815) 584-3343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | IL | Yes |
Addresses
Primary practice location
6339 N Big Hollow Rd
Peoria, IL 61615-2907
Mailing address
6339 N Big Hollow Rd
Peoria, IL 61615-2907
Phone (309) 693-3315
Other providers in Peoria, IL
- Rodolfo Luciano Cantu Jr.
- Susan M Canty
- Elizabeth Joanna Caraballo Torrealba
- Cardiac Consultants SC
- Cardiac Thoracic & Endovascular Therapies, S.C.
- Cardiosom, LLC
- Care Planning Institute, Inc
- Care Solutions Home Services LLC
- Christina Lucia Rosa Carfagnini
- Carla C. Couri, D.M.D., LTD.
All providers in Peoria, IL · Multi-Specialty 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.