Zlatka Kostadinova Jeliazkova, MD | |
707 N Logan Ave, Danville, IL 61832-4360 | |
(217) 477-4714 | |
(217) 444-4965 |
Full Name | Zlatka Kostadinova Jeliazkova |
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Gender | Female |
Speciality | Pediatrics |
Location | 707 N Logan Ave, Danville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346403060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 036-127731 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Zlatka Kostadinova Jeliazkova, MD 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4714 | Zlatka Kostadinova Jeliazkova, MD 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4714 |
Dr. John A Legett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-446-6410 Fax: 217-477-4757 | |
Luis E Garcia Tillan, Pediatrics Medicare: Medicare Enrolled Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-477-4770 | |
Ms. Monique Maria Howard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 311 W. Fairchild Street, Danville, IL 61832 Phone: 217-431-7900 Fax: 217-431-7634 | |
Dr. Sabeeha Haque Ali, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 102 N Logan Ave, Danville, IL 61832 Phone: 217-442-5863 Fax: 217-442-5040 | |
Holly Mae Maes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 737 N Logan Ave, Danville, IL 61832 Phone: 217-442-0433 Fax: 217-442-0485 | |
Yeonsuk Choi Koo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 909 N Logan Ave, Danville, IL 61832 Phone: 217-431-8133 Fax: 217-431-8134 |