Dr Patricio Luis Ilada Iv, MD | |
5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | |
(309) 683-6600 | |
(309) 683-2412 |
Full Name | Dr Patricio Luis Ilada Iv |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 5114 N Glen Park Place Rd, Peoria, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679630156 | NPI | - | NPPES |
32089400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35992 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Vituity-wisconsin Hm Sc | 4880056126 | 22 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Entity Name | Vituity-wisconsin Hm Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412 |
Mailing Address | Practice Location Address |
---|---|
Dr Patricio Luis Ilada Iv, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600 | Dr Patricio Luis Ilada Iv, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902 | |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 |