Lourdes Delgado-serrano, MD | |
Dept Of Pediatrics, 320 E Armstrong, Peoria, IL 61603 | |
(309) 624-9587 | |
Not Available |
Full Name | Lourdes Delgado-serrano |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | Dept Of Pediatrics, 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 |
---|---|---|---|
1508834839 | NPI | - | NPPES |
07215036 | Other | IL | BCBS |
036083077 | Medicaid | IL | |
IL01CX | Other | IL | JOHN DEERE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036083077 (Illinois) | Primary |
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 |
Entity Name | Bridgeway Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851315535 PECOS PAC ID: 4284627530 Enrollment ID: O20050126000609 |
Mailing Address | Practice Location Address |
---|---|
Lourdes Delgado-serrano, MD 1 Illini Dr, Peoria, IL 61605-2576 Ph: (309) 671-8503 | Lourdes Delgado-serrano, MD Dept Of Pediatrics, 320 E Armstrong, Peoria, IL 61603 Ph: (309) 624-9587 |
Dr. Deepak S Nair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Karen Margaret Kyle, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Dr. Andrew Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St Ste 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Dr. Douglas Juvinall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 | |
Dr. Robert I(sa) Pfeffer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3323 W Gloucester Ct, Peoria, IL 61615 Phone: 309-692-5462 | |
Arun C Pinto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 Ne Jefferson, Peoria, IL 61603 Phone: 309-671-8000 Fax: 309-671-4695 | |
Dr. M. Teresa C. Fraser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Garden Street, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7637 |