OrganizationActive
Proctor Health Systems
NPI 1629022447 · Primary Care Clinic/Center · Dunlap, IL
Provider details
- NPI number
- 1629022447
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Proctor Health Systems
- Organization subpart
- Yes
- Authorized official
- Carrie Chiaravalle, Director(309) 689-6049
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
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
12315 N Knoxville Ave
Dunlap, IL 61525-9501
Phone: (309) 243-5575
Fax: (309) 243-5764
Street-level locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5098
Other names (DBA / former)
- Doing business as
- Lake of the Woods Medical Center
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2007-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.