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Mario Miranda, DO
Emergency Medicine Physician in Peoria, Illinois
NPI 1376505420

Mario Miranda is a Emergency Medicine Physician based in Chicago, IL. Mario Miranda practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Mario Miranda is 1376505420 and holds a License No. (Illinois).

The current practice location address for Mario Miranda is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-672-5522.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 60673-1212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376505420
Provider Name
Mario Miranda
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
221 Ne Glen Oak Ave, Peoria, IL, 60673-1212
Phone Number
309-672-5522
Fax Number
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00196855 01 IL RAILROAD MEDICARE
36096715 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-4307
Phone Number
309-672-5522
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-4307
Phone Number
309-672-5522
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
(Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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