Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY K KETCHAM, MD
ActiveDR. JEFFREY K KETCHAM, MD is a Family Medicine healthcare provider located in PEORIA, Illinois. NPI 1245229368 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1245229368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.653806941326 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0360743479 (IL)0360743479 (IL)0360743479 (IL)
Practice Information
- Address
-
8600 N STATE ROUTE 91SUITE 250PEORIA, IL, 616159541Browse IL providers · Browse ZIP 61615
- Phone
- 3096925393
- Fax
- 3096922583
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CARL GREGORY | M.D. | 1871599522 |
| SARAH R KOSCICA | MD | 1003814625 |
| DR. ROBERT ALLAN LIZER | D.O. | 1184624280 |
| DR. TIMOTHY M LAHOOD | M.D. | 1245223130 |
| DR. AARON TAYLOR BOYER | M.D. | 1104811058 |
| DR. NYUNT TIN | MD | 1083603179 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.