Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Peoria Ear, Nose and Throat Group, S.C.

Otolaryngology Physician in Peoria, IL · enumerated 2006 · authorized official Tyler Robertson, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952380628

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Registry record

Entity type Organization (Type 2)

Legal business name Peoria Ear, Nose and Throat Group, S.C.

Practice address 7301 N Knoxville Ave, Peoria, IL, 61614

Phone (309) 589-5900

Fax (309) 689-0312

Enumeration date Jan 11, 2006

Last updated in NPPES Sep 17, 2026

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 042000742 (IL) Primary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

237700000X Hearing Instrument Specialist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Tyler Robertson

Title Chief Executive Officer

Phone (309) 589-8051

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Peoria Ear, Nose and Throat Group, S.C.?

Peoria Ear, Nose and Throat Group, S.C. is registered in NPPES as a Otolaryngology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-17.