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Dr. Pedro A De Alarcon
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Pedro A De Alarcon |
Gender: | M |
Provider License Number If Given: | 38265 |
NPI Information:
NPI: | 1841293032 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 8/29/2018 |
Provider Business Mailing Address:
Address: | CHILDREN'S HOSPITAL OF IL 530 NE GLEN OAK AVE Peoria, IL 61637 |
Phone Number: | 3096554242 |
Fax Number: | 3096552565 |
Provider Business Practice Location Address:
Address: | CHILDREN'S HOSPITAL OF ILLINOIS 530 NE GLEN OAK AVE Peoria, IL 61637 |
Phone Number: | 3096554242 |
Fax Number: | 3096552565 |
Provider Taxonomy:
Primary: | 2080P0207X |
Secondary (if any): | |
State: | IL |