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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

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