Individual
ANTHONY C. ZALDUENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6810
(309) 655-4041
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05723077
BLUE CROSS GROUP NO.
—
01
—
098090
HEALTH ALLIANCE
—
01
—
382228
HEALTHLINK
—
01
—
800850
MEDICARE GROUP NO.
—
01
—
CF8519
MEDICARE RAILROAD GROUP N
—
01
—
IL01ZU
JOHN DEERE
—
Enumeration date
08/03/2006
Last updated
07/09/2007
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