Barzallo, Marco
Barzallo, Marco is an individual health care provider with primary practice located at 5405 N Knoxville Ave , Peoria IL 61614-5016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Barzallo, Marco can be contacted via phone (309) 691-4410.Contact Information
Primary practice address
5405 N Knoxville Ave
Peoria IL 61614-5016
Phone: (309) 691-4410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036114162 | Illinois |
Profile Details
| NPI number | 1316971823 |
|---|---|
| LBN Legal business name | Barzallo, Marco |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316971823 | NPPES |
| Illinois | MEDICAID | 036114162 |
Popular Providers
-
Smalley, James R
5405 N Knoxville Ave , Peoria IL 61614 -
Best, David G
5405 N Knoxville Ave , Peoria IL 61614 -
Patel, Subhash J
900 Main St Ste 320, Peoria IL 61602-1005 -
Wazir, Shahid
112 Ne Crescent Ave , Peoria IL 61606-1901 -
Perks, Christine C
5405 N Knoxville Ave , Peoria IL 61614-5016 -
Mungee, Sudhir
5405 North Knoxville Avenue , Peoria IL 61614 -
Gumm, Darrel C
5405 N Knoxville Ave , Peoria IL 61614 -
Shay, Thanad S
1201 N North St , Peoria IL 61606-1533