Individual
DR. SERGIO ELI MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-124131
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809840
MEDICARE GROUP NO.
IL
01
—
809840035
INDIVIDUAL MEDICARE NO.
IL
Enumeration date
07/25/2007
Last updated
02/04/2025
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