IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC – Family Nurse Practitioner, NPI 1013288646

IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC is a healthcare provider. based in Peru, Illinois. specializing in Family Nurse Practitioner. The NPI Number for IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC is 1013288646

Main info

Organization
Name
IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC
NPI
1013288646
Phone
(815) 223-3500
Address
1305 6TH ST
Authorized Official
DORI BONNELL DIRECTOR OF PHYSICIAN PRACTICES
Enumeration Date
12 January 2012
Last Update Date
27 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC

  • 1305 6TH ST

    PERU, IL 613542759

    Phone: (815) 223-3500

    Fax: (815) 780-4634

    Type: Mailing

  • 220 E HIGH ST

    HENNEPIN, IL 613279424

    Phone: (815) 925-7032

    Fax: (815) 925-7463

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61354)

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Frequently asked questions

What is the registry number for IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC?
The registry entry for IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC shows NPI 1013288646.
Should I treat IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC as an active provider?
Patients and plans typically see IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC as active in the national extract.
How should patients interpret IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC's specialty?
The extract shows Family Nurse Practitioner for IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC. Clinical services aligned with this taxonomy classification.
Which community is linked to IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC?
IVCH MEDICAL GROUP / HENNEPIN MEDICAL CLINIC shows a connection to Peru, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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