Pratap Attaluri, MD | |
3248 Vandever Ave, Pekin, IL 61554 | |
(309) 347-5522 | |
(309) 347-7302 |
Full Name | Pratap Attaluri |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 48 Years |
Location | 3248 Vandever Ave, Pekin, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689639213 | NPI | - | NPPES |
036084923 | Medicaid | IL | |
00303608492301 | Other | IL | CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036084923 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Tazwood Mental Health Center Inc | 1850291741 | 3 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Tazwood Mental Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083671127 PECOS PAC ID: 1850291741 Enrollment ID: O20040108000963 |
Mailing Address | Practice Location Address |
---|---|
Pratap Attaluri, MD 3248 Vandever Ave, Pekin, IL 61554 Ph: (309) 347-5522 | Pratap Attaluri, MD 3248 Vandever Ave, Pekin, IL 61554 Ph: (309) 347-5522 |
Maria Esperanza Kabatay, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 S 13th St, Suite J, Pekin, IL 61554 Phone: 309-353-0740 Fax: 309-353-0629 |