Dr David Vallejo Jr, MD | |
13000 Maple Ave, Blue Island, IL 60406-2318 | |
(708) 385-6100 | |
(708) 385-2051 |
Full Name | Dr David Vallejo Jr |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 13000 Maple Ave, Blue Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699085381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 125.055159 (Illinois) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 036.130292 (Illinois) | Secondary |
Entity Name | Bonaventure Medical Foundation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
Entity Name | Adventist Health Partners,inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033490651 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Erie Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Entity Name | Northwest Associates For Women's Healthcare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033143532 PECOS PAC ID: 2264408038 Enrollment ID: O20040903000194 |
Entity Name | Vna Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Entity Name | Susan Orhan Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932113362 PECOS PAC ID: 5991712911 Enrollment ID: O20060316000404 |
Entity Name | Obhg Illinois Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
Entity Name | Uptodate Healthcare For Women Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639414113 PECOS PAC ID: 3072752385 Enrollment ID: O20130618000394 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Dr David Vallejo Jr, MD 13000 Maple Ave, Blue Island, IL 60406-2318 Ph: (708) 385-6100 | Dr David Vallejo Jr, MD 13000 Maple Ave, Blue Island, IL 60406-2318 Ph: (708) 385-6100 |
Miyoung Won, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Randall Jay Gordon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Alfonso Mejia-zelaya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Alfonso Delgranado, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100 Fax: 708-385-2051 | |
Angela I Risser, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 |