Dr Rujuta Gore, | |
4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | |
(309) 308-3500 | |
Not Available |
Full Name | Dr Rujuta Gore |
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Gender | Female |
Speciality | Ophthalmology |
Location | 4927 N Glen Park Place Rd, 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 |
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1720546559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036.161999 (Illinois) | Primary |
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 036.161999 (Illinois) | Secondary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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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 |
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Dr Rujuta Gore, 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 308-3500 | Dr Rujuta Gore, 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 308-3500 |
Colin J Scott, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3869 Fax: 309-243-7918 | |
Dr. Steven J Lichtenstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 | |
Osama Al Deyabat, MBBS Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4927 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-308-3500 | |
Dr. John P Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 | |
Dr. Thomas M Wyman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 | |
Dr. Parashos A Lagouros, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2433 Fax: 309-243-7918 | |
Stephen J Eyler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 |