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Contact Information

PEDRO A DE ALARCON, MD
CHILDREN'S HOSPITAL OF ILLINOIS 530 NE GLEN OAK AVE
PEORIA, IL61637
 Phone: 309-655-4242
 Fax: 309-655-2565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDRO A DE ALARCON · (Male)

NPI Number 1841293032
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 08/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 38265
  • AR Medicaid 154138001
  • GA Medicaid 762912245A
  • IN Medicaid 200113940A
  • KY Medicaid 64081607
  • ME Medicaid 422400000
  • MO Medicaid 209161306
  • MS Medicaid 09852769
  • OK Medicaid 200031030A
  • TN Medicaid 5440121
Hospital affiliation(s) Not Available
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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