Maldonado, Andres L
Maldonado, Andres L is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Maldonado, Andres L can be contacted via phone (093) 624-4000.Contact Information
Primary practice address
200 E Pennsylvania Ave
Peoria IL 61603-3089
Phone: (093) 624-4000
Fax: (309) 624-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036150380 | Illinois |
Profile Details
| NPI number | 1467765040 |
|---|---|
| LBN Legal business name | Maldonado, Andres L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2010 |
| Last updated | Jul 24th, 2020 - about 5 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.
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