Anthony M. Driscoll
Gerontology Nurse Practitioner · Peoria, IL
Practice location
530 NE Glen Oak AvePeoria, IL 61637-0001
- Phone
- (309) 657-5186
NPI record
- NPI
- 1063091825
- Entity type
- Individual (Type 1)
- Enumeration date
- April 7, 2021
- Last updated
- February 27, 2026
- Certified
- February 27, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X |
209023127 | IL |
| Acute Care Nurse Practitioner | 363LA2100X |
041436954 | IL |
Mailing address
1219 E Elmhurst AvePeoria, IL 61603-1527
- Phone
- (309) 657-5186
About Anthony Driscoll
Anthony M. Driscoll is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 530 NE Glen Oak Ave, Peoria, IL 61637-0001. The NPI number 1063091825 was assigned on April 7, 2021 and the record was last updated on February 27, 2026.
Anthony Driscoll lists 2 licenses in the registry: #209023127 (IL) for Gerontology Nurse Practitioner; #041436954 (IL) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Anthony M. Driscoll?
The NPI number is 1063091825.
What is the phone number of Anthony Driscoll?
The phone number listed for the practice location is (309) 657-5186.
Where is Anthony Driscoll located?
530 NE Glen Oak Ave, Peoria, IL 61637-0001.
What is the taxonomy code for Anthony Driscoll?
The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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