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Mateo Betancourt Escobar, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1255024949

Mateo Betancourt Escobar is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Mateo Betancourt Escobar practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Mateo Betancourt Escobar is 1255024949 and holds a License No. (Illinois).

The current practice location address for Mateo Betancourt Escobar is 530 N. E. Glen Oak Ave., Peoria, IL and can be reached out via phone at 309-655-2730 and via fax at 309-655-3297.

Location: 530 N. E. Glen Oak Ave., Peoria, IL, 61637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255024949
Provider Name
Mateo Betancourt Escobar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 N. E. Glen Oak Ave., Peoria, IL, 61637
Phone Number
309-655-2730
Fax Number
309-655-3297
Provider Enumeration Date
05/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 N. E. Glen Oak Ave.
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2730
Fax Number
309-655-3297
person
Provider Business Mailing Address Details
Address
530 N. E. Glen Oak Ave.
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2730
Fax Number
309-655-3297
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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