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George Shotick, M.D.
NPI 1104941657 · Family Medicine Physician · Peoria, IL
George Shotick, M.D. is a Family Medicine Physician provider in Peoria, IL (NPI 1104941657).
Provider details
- NPI number
- 1104941657
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-059533 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
228 Ne Jefferson Ave
Peoria, IL 61603-3802
Phone: (309) 671-8000
Fax: (309) 671-4695
Street-level locationGet directions
Mailing address
228 Ne Jefferson Ave
Peoria, IL 61603-3802
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2016-02-15
Frequently asked questions
- What is George Shotick's NPI number?
- George Shotick's National Provider Identifier (NPI) is 1104941657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is George Shotick's specialty?
- George Shotick is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is George Shotick located?
- George Shotick's practice location on file with NPPES is 228 Ne Jefferson Ave, Peoria, IL 61603-3802.
- What is George Shotick's phone number?
- The practice phone number listed in the NPPES registry for George Shotick is (309) 671-8000.
- Is George Shotick's NPI active?
- Yes — George Shotick's NPI (1104941657) is active in the NPPES registry as of the last update on 2016-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.