Healthcare Provider Details

I. General information

NPI: 1033086863
Provider Name (Legal Business Name): KRISTIN ZEHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NE GLEN OAK AVE
PEORIA IL
61637-0002
US

IV. Provider business mailing address

739 ROBINSWOOD LN
METAMORA IL
61548-7703
US

V. Phone/Fax

Practice location:
  • Phone: 309-655-2000
  • Fax:
Mailing address:
  • Phone: 309-655-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number209.033547
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: