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Active NPI 1316811979 Individual Practitioner Male Practitioner

Mark Anthony Williams , LPN

Licensed Practical Nurse • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Mark Williams, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Peoria, IL. Practice services are available at 7717 N ORANGE PRAIRIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7717 N Orange Prairie Rd

Peoria, IL 616159323

Telephone 3095896800
Associated Practice Facility / Clinic
🏢 Danville Vamc Facility NPI 1336197284

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Peoria, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043.124343

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Shannon Dolan

Social Worker - Clinical

NPI 1003556135
Jenna Quartier , MSW, LCSW

Social Worker - Clinical

NPI 1093180036

Master of Social Work, Licensed Clinical Social Worker

Elizabeth Osborne

Technician - Attendant Care Provider

NPI 1114575602
NPI 1124744230

Licensed Social Worker

Sydney Smith

Social Worker - Clinical

NPI 1134680234
Cynthia Swigart , CFNP

Nurse Practitioner - Family

NPI 1164465449

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2025

Registered at 7717 N ORANGE PRAIRIE RD, PEORIA, IL 616159323 (Tel: 3095896800)

📍
Updated Business Mailing Address October 06, 2025

Registered at 1223 W WILLOW LN, PEORIA, IL 616146916 (Tel: 3092569034)

👤
Provider Name / Credentials Updated October 06, 2025

Recorded as MARK WILLIAMS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2025

Licensed Practical Nurse (License #043.124343 in IL)

🟢
Initial NPI Registration & Enumeration October 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316811979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2025
Last Update: October 06, 2025
Sole Proprietor: No

Mailing Address

1223 W Willow Ln

Peoria, IL 616146916

Phone: 3092569034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.