SearchIllinois231H00000X

Jill Pruvost, M.S., CCC-A

NPI 1366456527 · on the registry since 2006

Practice

Address
7301 N Knoxville Ave
Peoria, IL 61614
Phone
(309) 589-5900
Fax
(309) 683-4120
Organisation at this address
Facial Plastic & Laser Surgery
Peoria Ear Nose And Throat Group Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 6809 N Knoxville Ave, Peoria, IL

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois