OrganizationActive
Mid Illini Surgical Associates Sc
NPI 1093854002 · Surgery Physician · Peoria, IL
Mid Illini Surgical Associates Sc is a Surgery Physician organization in Peoria, IL (NPI 1093854002).
Provider details
- NPI number
- 1093854002
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Totten, Office Manager(309) 672-5975
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
900 Main St
Suite 530
Peoria, IL 61602-1074
Phone: (309) 672-5975
Fax: (309) 655-1678
Street-level locationGet directions
Mailing address
900 Main Street
Peoria, IL 61602-1074
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mid Illini Surgical Associates Sc's NPI number?
- Mid Illini Surgical Associates Sc's National Provider Identifier (NPI) is 1093854002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid Illini Surgical Associates Sc?
- Mid Illini Surgical Associates Sc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mid Illini Surgical Associates Sc located?
- Mid Illini Surgical Associates Sc's practice location on file with NPPES is 900 Main St, Peoria, IL 61602-1074.
- What is Mid Illini Surgical Associates Sc's phone number?
- The practice phone number listed in the NPPES registry for Mid Illini Surgical Associates Sc is (309) 672-5975.
- Who is the authorized official for Mid Illini Surgical Associates Sc?
- The authorized official listed on Mid Illini Surgical Associates Sc's NPPES record is Greg Totten, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid Illini Surgical Associates Sc's NPI active?
- Yes — Mid Illini Surgical Associates Sc's NPI (1093854002) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.