Phillip A. Immesoete MD, Ltd
NPI 1245544543 · Nursing Facility/Intermediate Care Facility · Peoria, IL
Phillip A. Immesoete MD, Ltd is a Nursing Facility/Intermediate Care Facility organization in Peoria, IL (NPI 1245544543).
Provider details
- NPI number
- 1245544543
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Immesoete, Physician(309) 691-0030
- License
- 036042568 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Registry dates
- Enumerated
- 2010-07-29
- Last updated
- 2010-07-29
Frequently asked questions
- What is Phillip A. Immesoete MD, Ltd's NPI number?
- Phillip A. Immesoete MD, Ltd's National Provider Identifier (NPI) is 1245544543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phillip A. Immesoete MD, Ltd?
- Phillip A. Immesoete MD, Ltd is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Phillip A. Immesoete MD, Ltd located?
- Phillip A. Immesoete MD, Ltd's practice location on file with NPPES is 5401 N Knoxville Ave, Peoria, IL 61614-5098.
- What is Phillip A. Immesoete MD, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Phillip A. Immesoete MD, Ltd is (309) 691-0030.
- Who is the authorized official for Phillip A. Immesoete MD, Ltd?
- The authorized official listed on Phillip A. Immesoete MD, Ltd's NPPES record is Phillip Immesoete, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phillip A. Immesoete MD, Ltd's NPI active?
- Yes — Phillip A. Immesoete MD, Ltd's NPI (1245544543) is active in the NPPES registry as of the last update on 2010-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.