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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 |
