Illinois Gastroenterology Institute, PLLC
NPI 1275575706 · Gastroenterology Physician · Peoria, IL
Illinois Gastroenterology Institute, PLLC is a Gastroenterology Physician organization in Peoria, IL (NPI 1275575706).
Provider details
- NPI number
- 1275575706
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mike Shadley, Administrator(309) 672-4980
- License
- 042006270 (IL)
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)
- Former legal business name
- Gastroenterology, Ltd
- Former legal business name
- Gastroenterology, Ltd
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Frequently asked questions
- What is Illinois Gastroenterology Institute, PLLC's NPI number?
- Illinois Gastroenterology Institute, PLLC's National Provider Identifier (NPI) is 1275575706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Gastroenterology Institute, PLLC?
- Illinois Gastroenterology Institute, PLLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Illinois Gastroenterology Institute, PLLC located?
- Illinois Gastroenterology Institute, PLLC's practice location on file with NPPES is 1001 Main St, Peoria, IL 61606-1907.
- What is Illinois Gastroenterology Institute, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Illinois Gastroenterology Institute, PLLC is (309) 672-4980.
- Who is the authorized official for Illinois Gastroenterology Institute, PLLC?
- The authorized official listed on Illinois Gastroenterology Institute, PLLC's NPPES record is Mike Shadley, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Gastroenterology Institute, PLLC's NPI active?
- Yes — Illinois Gastroenterology Institute, PLLC's NPI (1275575706) is active in the NPPES registry as of the last update on 2020-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.