Active NPI
Cardinal Medical Group, LTD.
- Multi-Specialty Clinic/Center
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
- Last updated
- Aug 22, 2020
- 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
- Mr. Michael A Shadley
- Title
- Administrator
- Phone
- (309) 693-8611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | IL | Primary |
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
National Provider Directory
National Provider DirectoryLocations (25 of 102)
2 Saint Anthonys Way
Alton, IL 62002
Phone (618) 462-2222
710 College Ave
Alton, IL 62002
1001 Rivian Mtwy
Bloomington, IL 61705
Phone (309) 828-0806
1001 Rivian Mtwy
Ste 1100
Bloomington, IL 61705
1003 N Rivian Mtwy
Bloomington, IL 61705
210 Saint Joseph Dr
Ste 2
Bloomington, IL 61701
302 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 662-5361
508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080
7945 S Harlem Ave
Burbank, IL 60459
Phone (708) 907-4355
7601 S Cicero Ave
Unit P0A
Chicago, IL 60652
311 N 4th St
Chillicothe, IL 61523
Phone (309) 274-4336
707 N Logan Ave
#1267
Danville, IL 61832
707 N Logan Ave
Ste 102
Danville, IL 61832
800 N Logan Ave
Danville, IL 61832
Phone (217) 431-4080
812 N Logan Ave
#12627
Danville, IL 61832
812 N Logan Ave
Ste 130
Danville, IL 61832
102 S Hennepin Ave
Ste 102
Dixon, IL 61021
102 S Hennepin Ave
Ste 103
Dixon, IL 61021
Phone (815) 284-7733
102 S Hennepin Ave
Ste 130
Dixon, IL 61021
215 E 1st St
#215
Dixon, IL 61021
Phone (815) 209-7270
215 E 1st St
Ste 105
Dixon, IL 61021
Phone (815) 285-5603
215 E 1st St
Ste 121
Dixon, IL 61021
215 E 1st St
Ste 212
Dixon, IL 61021
Phone (815) 285-5843
215 E 1st St
Ste 310
Dixon, IL 61021
Phone (815) 285-5801
215 E 1st St
Ste 326
Dixon, IL 61021
Phone (815) 285-5800
Practitioners & affiliated clinicians
Practitioners 1,272
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.
-
- Surgery Physician
- Chicago, IL
- NPI 1467712596
-
- Allergy & Immunology Physician
- Peoria, IL
- NPI 1245729805
-
- Clinical Cardiac Electrophysiology Physician
- Springfield, IL
- NPI 1881825594
-
- Clinical Cardiac Electrophysiology Physician
- Peoria, IL
- NPI 1427346444
-
- Family Nurse Practitioner
- Peoria, IL
- NPI 1922687938
-
- Surgery Physician
- Peoria, IL
- NPI 1376906446
-
- Interventional Cardiology Physician
- Bloomington, IL
- NPI 1336142017
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1629572177
-
- Family Nurse Practitioner
- Aurora, IL
- NPI 1174208987
-
- Radiation Oncology Physician
- Rockford, IL
- NPI 1164641791
-
- Family Nurse Practitioner
- Peoria, IL
- NPI 1992422943
-
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
- NPI 1598156259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992829485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 N BIG HOLLOW RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152907",
"telephone_number": "309-693-3315",
"fax_number": "309-693-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6339 N BIG HOLLOW RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152907",
"telephone_number": "309-693-3315",
"fax_number": "309-693-9385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL MEDICAL GROUP, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHADLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "309-693-8611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
- Rodolfo Luciano Cantu Jr., A.T.C.,L
- Susan M Canty, PA-C
- Elizabeth Joanna Caraballo Torrealba
- Cardiac Consultants SC
- Cardiac Thoracic & Endovascular Therapies, S.C.
- Cardiosom, LLC (CardioSom of Peoria)
- Care Planning Institute, Inc
- Care Solutions Home Services LLC
- Christina Lucia Rosa Carfagnini, MD
- Carla C. Couri, D.M.D., LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.