Search › Illinois › 363LG0600X

Kyle Faris, ACNPC-AG

NPI 1588480685 · on the registry since 2024 · sole proprietor

Practice

Address
1001 Main St Ste 200
Peoria, IL 61606
Phone
(309) 672-5682
Fax
(309) 672-3147
Organisation at this address
Springfield Clinic Llp
Peoria Surgical Group, Ltd.
Peoria Pulmonary Associates, Ltd.
Central Illinois Endoscopy Center, Llc
Illinois Gastroenterology Institute, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
76

Additional practice sites

  • 747 Broadway, Seattle, WA

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-12

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