Individual
DR. PEDRO A DE ALARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL OF ILLINOIS 530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 655-4242
(309) 655-2565
Mailing address
CHILDREN'S HOSPITAL OF IL 530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-4242
(309) 655-2565
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
38265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09852769
—
MS
05
—
154138001
—
AR
05
—
200031030A
—
OK
05
—
200113940A
—
IN
05
—
209161306
—
MO
05
—
422400000
—
ME
05
—
5440121
—
TN
05
—
64081607
—
KY
05
—
762912245A
—
GA
Enumeration date
05/23/2005
Last updated
08/29/2018
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