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Contact Information

TY E HASSELMAN, MD
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL61603-3105
 Phone: 309-655-3453
 Fax: 309-655-3410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TY E HASSELMAN · (Male)

NPI # 1861438434
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-106293
  • IL Medicaid 036106293
Hospital affiliation(s)
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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