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NPISignal

Individual Healthcare Provider

Delinda Demita Wills, MD

NPI Record: ActiveSurgery — Surgical Critical Care
NPI1063531804
Peoria, Illinois

Provider's NPPES record last updated: October 24, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1063531804
Primary Specialty
Surgery — Surgical Critical Care
Practice Location
Peoria, Illinois
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 12:38 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X
  • Clinic/Center

    Medical Specialty

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

    Taxonomy code 261QM2500X

Provider-Reported License Information

Surgery (Illinois)
036163805
Surgery (Texas)
S8505
Clinic/Center (Texas)
S8505
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

221 Ne Glen Oak Ave

Peoria, Illinois 61636-0001

Phone: (309) 672-5522

Additional Practice Location

1735 Keller Springs Rd Ste 210

Carrollton, Texas 75006-3014

Phone: (214) 731-6060

Fax: (318) 401-0911

Additional Practice Location

800 E Dawson St

Tyler, Texas 75701-2036

Phone: (903) 606-7264

Record Information

Enumeration Date
March 29, 2007
Provider's NPPES Record Last Updated
October 24, 2025
Certification Date
October 24, 2025
NPISignal NPPES Dataset
August 2026

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