OrganizationActive
Proctor Health Systems
NPI 1396923702 · Clinic/Center · Peoria, IL
Proctor Health Systems is a Clinic/Center organization in Peoria, IL (NPI 1396923702).
Provider details
- NPI number
- 1396923702
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrie Chiaravalle, Director Operations(309) 689-6043
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5401 N Knoxville Ave Ste 306
Peoria, IL 61614-5021
Phone: (309) 691-0027
Street-level locationGet directions
Mailing address
5401 N Knoxville Ave Ste 306
Peoria, IL 61614-5021
Other names (DBA / former)
- Doing business as
- Proctor Medical Group Renaldo Jacques MD
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Frequently asked questions
- What is Proctor Health Systems's NPI number?
- Proctor Health Systems's National Provider Identifier (NPI) is 1396923702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proctor Health Systems?
- Proctor Health Systems is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proctor Health Systems located?
- Proctor Health Systems's practice location on file with NPPES is 5401 N Knoxville Ave Ste 306, Peoria, IL 61614-5021.
- What is Proctor Health Systems's phone number?
- The practice phone number listed in the NPPES registry for Proctor Health Systems is (309) 691-0027.
- Who is the authorized official for Proctor Health Systems?
- The authorized official listed on Proctor Health Systems's NPPES record is Carrie Chiaravalle, Director Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proctor Health Systems's NPI active?
- Yes — Proctor Health Systems's NPI (1396923702) is active in the NPPES registry as of the last update on 2008-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.