SearchIllinois390200000X

Kris Lanham

NPI 1700720943 · on the registry since 2026 · sole proprietor

Practice

Address
221 Ne Glen Oak Ave
Peoria, IL 61636
Phone
(309) 672-5522
Organisation at this address
Methodist
Walgreen Co
Epss, Llc- Metro Series
Heartland Home Health Care
Peoria Area Women'S Hospitalist
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Additional practice sites

  • 900 Main St Ste 720, Peoria, IL

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

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