Individual
HOREA BAILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61603-4307
(309) 672-5790
Mailing address
PO BOX 166324, MIAMI, FL 33116-6324
(239) 624-3570
(239) 624-3571
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
36105403
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME148914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361054032
—
IL
01
—
P00359538
RAILROAD MEDICARE
IL
Enumeration date
01/17/2006
Last updated
04/16/2024
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