University of Illinois
NPI 1174596225 · Pediatric Neurodevelopmental Disabilities Physician · Peoria, IL
University of Illinois is a Pediatric Neurodevelopmental Disabilities Physician organization in Peoria, IL (NPI 1174596225).
Provider details
- NPI number
- 1174596225
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Nicholas, Executive Director of Msp(312) 413-0573
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medical Service Plan at Peoria
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is University of Illinois's NPI number?
- University of Illinois's National Provider Identifier (NPI) is 1174596225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University of Illinois?
- University of Illinois is classified in the NPPES registry as Pediatric Neurodevelopmental Disabilities Physician (Allopathic & Osteopathic Physicians).
- Where is University of Illinois located?
- University of Illinois's practice location on file with NPPES is 515 Ne Glen Oak Ave, Peoria, IL 61603-3165.
- What is University of Illinois's phone number?
- The practice phone number listed in the NPPES registry for University of Illinois is (309) 624-9844.
- Who is the authorized official for University of Illinois?
- The authorized official listed on University of Illinois's NPPES record is William Nicholas, Executive Director of Msp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University of Illinois's NPI active?
- Yes — University of Illinois's NPI (1174596225) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.