Bruce A Mclelland, MD | |
5401 N Knoxville Ave, Suite 115, Peoria, IL 61614-5098 | |
(309) 691-2903 | |
(309) 691-2909 |
Full Name | Bruce A Mclelland |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 5401 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689762189 | NPI | - | NPPES |
036056311 | Medicaid | IL | |
P05833 | Other | IL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036056311 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bruce A Mclelland, MD 5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5068 Ph: (309) 691-2903 | Bruce A Mclelland, MD 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614-5098 Ph: (309) 691-2903 |
Dr. Carl William Soderstrom Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 | |
Dr. Janeen Noelle Buonaccorsi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9052 | |
Dr. Tesfu Hailu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-691-9286 | |
Christopher T Kroodsma, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909 | |
Ashley Steffens, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Peoria, IL 61614 Phone: 093-691-2903 Fax: 309-691-2909 | |
Harry C Stone, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 | |
Jamie Lynn Frey, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909 |