Peoria Tazewell Pathology Group, S.c.
NPI 1578597738 · Anatomic Pathology & Clinical Pathology Physician · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peoria Tazewell Pathology Group, S.c. is a Anatomic Pathology & Clinical Pathology Physician organization in Peoria, IL (NPI 1578597738).
Provider details
- NPI number
- 1578597738
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronald Champagne, President(309) 647-5240
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
19 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
- 2006-07-11
- Last updated
- 2012-08-13
Frequently asked questions
- What is Peoria Tazewell Pathology Group, S.c.'s NPI number?
- Peoria Tazewell Pathology Group, S.c.'s National Provider Identifier (NPI) is 1578597738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peoria Tazewell Pathology Group, S.c.?
- Peoria Tazewell Pathology Group, S.c. is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Peoria Tazewell Pathology Group, S.c. located?
- Peoria Tazewell Pathology Group, S.c.'s practice location on file with NPPES is 221 Ne Glen Oak Ave, Peoria, IL 61603-4310.
- What is Peoria Tazewell Pathology Group, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Peoria Tazewell Pathology Group, S.c. is (309) 672-4911.
- Does Peoria Tazewell Pathology Group, S.c. accept Medicare?
- Peoria Tazewell Pathology Group, S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peoria Tazewell Pathology Group, S.c.?
- The authorized official listed on Peoria Tazewell Pathology Group, S.c.'s NPPES record is Ronald Champagne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peoria Tazewell Pathology Group, S.c.'s NPI active?
- Yes — Peoria Tazewell Pathology Group, S.c.'s NPI (1578597738) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.