Dr Pedro A De Alarcon, MD | |
Children's Hospital Of Illinois 530 Ne Glen Oak Ave, Peoria, IL 61637 | |
(309) 655-4242 | |
(309) 655-2565 |
Full Name | Dr Pedro A De Alarcon |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | Children's Hospital Of Illinois 530 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841293032 | NPI | - | NPPES |
422400000 | Medicaid | ME | |
09852769 | Medicaid | MS | |
200113940A | Medicaid | IN | |
64081607 | Medicaid | KY | |
200031030A | Medicaid | OK | |
209161306 | Medicaid | MO | |
154138001 | Medicaid | AR | |
5440121 | Medicaid | TN | |
762912245A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 38265 (Tennessee) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Pedro A De Alarcon, MD Children's Hospital Of Il 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-4242 | Dr Pedro A De Alarcon, MD Children's Hospital Of Illinois 530 Ne Glen Oak Ave, Peoria, IL 61637 Ph: (309) 655-4242 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 |