Central Illinois Pathology, Sc in Peoria, IL
This organization bills under NPI 1114970761, an organization record issued on May 17, 2006 with the primary taxonomy Anatomic Pathology & Clinical Pathology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1114970761
- Legal name
- Central Illinois Pathology, Sc
- Entity
- Type 2 · organization
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Practice location
- 530 NE GLEN OAK AVE, Peoria, IL 61637
- Phone
- 309-624-9011
- Mailing address
- Mequon, WI
- Enumerated
- May 17, 2006
- Record updated
- Oct 30, 2007
- Authorized official
- Administrator (title as filed)
12 clinicians CMS lists with Central Illinois Pathology Sc in Peoria
- Jerome Anderson, DOAnatomic Pathology Physician1619955986
- Janeen Buonaccorsi, MDAnatomic Pathology & Clinical Pathology Physician1174765721
- Manuel Doria, MDAnatomic Pathology & Clinical Pathology Physician1306879010
- Sean Fitzgerald, MDAnatomic Pathology & Clinical Pathology Physician1912107186
- Vidhu Kaushik, MBBS, MDClinical Pathology/Laboratory Medicine Physician1972767044
- Tian LiAnatomic Pathology & Clinical Pathology Physician1447661392
- Michael Lunt, MDAnatomic Pathology & Clinical Pathology Physician1154647055
- Rakesh Mandal, MDClinical Pathology/Laboratory Medicine Physician1629336524
- Purvi Patel, MDAnatomic Pathology & Clinical Pathology Physician1609437094
- Viren Patel, MDAnatomic Pathology & Clinical Pathology Physician1891137980
- Nibha Saxena, MDAnatomic Pathology & Clinical Pathology Physician1841270113
- Hamid Zia, MDAnatomic Pathology & Clinical Pathology Physician1003121310
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Illinois secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Wisconsin?
The mailing address in the record (Mequon, WI) is where the organization receives mail. Care is given at the practice location in Peoria.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.