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Mr. Earle M Pescatore JR., DO
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Springfield, Illinois
NPI 1336147693

Earle M Pescatore JR. is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Springfield, IL and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Earle M Pescatore JR. practices in Springfield, IL and has the professional credentials of DO. The NPI Number for Earle M Pescatore JR. is 1336147693 and holds a License No. 036102614 (Illinois).

The current practice location address for Earle M Pescatore JR. is 751 N Rutledge St, Springfield, IL and can be reached out via phone at 217-545-8000.

Location: 751 N Rutledge St, Springfield, IL, 62702-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336147693
Provider Name
Earle M Pescatore JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
751 N Rutledge St, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
07/11/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101552 01 IL HEALTH ALLIANCE
0369102614 05 IL
10123243 01 IL BLUE CROSS BLUE SHIELD
7648181 01 IL AETNA
IL0100 01 IL JOHN DEERE
036102614-2 05 IL
institution
Provider Business Practice Location Address Details
Address
751 N Rutledge St
City
Springfield
State
Illinois
Zip
62702-4968
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
751 N Rutledge St
City
Springfield
State
Illinois
Zip
62702-4968
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036102614 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
OS11075 (Florida)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
036102614 (Illinois)
Definition
Definition to come...
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