OrganizationActive
Medical Service Corporation Sc
NPI 1093150567 · General Practice Physician · Streator, IL
Provider details
- NPI number
- 1093150567
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Agnes Wilson, RN(815) 252-1805
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 W 6th St Ste 206
Streator, IL 61364-2864
Phone: (815) 252-1805
Fax: (815) 663-0103
Street-level locationGet directions
Mailing address
405 Bronco Dr
Bloomington, IL 61704-5393
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2013-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.