OrganizationActive
St Marys Hospital
NPI 1164673307 · Orthopaedic Surgery Physician · Streator, IL
Provider details
- NPI number
- 1164673307
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Marys Hospital
- Organization subpart
- Yes
- Authorized official
- Karen Clark, Cfo(815) 673-4514
- License
- 036070970 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Streator, IL 61364-2899
Phone: (815) 673-3223
Fax: (815) 673-3305
Street-level locationGet directions
Mailing address
104 W 6th St
Streator, IL 61364-2899
Other names (DBA / former)
- Doing business as
- St Marys Orthopedics
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2009-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.