OrganizationActive
Illinois Hospital Medicine Associates PC
NPI 1376906867 · Obstetrics & Gynecology Physician · Peoria, IL
Provider details
- NPI number
- 1376906867
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Gordon, President(865) 693-1000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Phone: (919) 426-3140
Street-level locationGet directions
Mailing address
5870 N Hiatus Rd.
Tamarac, FL 33321-6424
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.