OrganizationActive
Peoria Pulmonary Associates, Ltd.
NPI 1831143585 · Pulmonary Disease Physician · Peoria, IL
Provider details
- NPI number
- 1831143585
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Jackson, Emr Manager(309) 672-5682
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
1001 Main St
Suite 200
Peoria, IL 61606-1907
Phone: (309) 672-5682
Fax: (309) 672-3147
Street-level locationGet directions
Mailing address
1001 Main St
Peoria, IL 61606-1907
Other names (DBA / former)
- Other name
- Illinois Lung Institute
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2009-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.