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Dr. Richard Pearl, MD
Pediatric Surgery Physician in Peoria, Illinois
NPI 1457389272

Richard Pearl is a Pediatric Surgery Physician based in Peoria, IL and is specialized in Pediatric Surgery. Richard Pearl practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Richard Pearl is 1457389272 and holds a License No. 036098051 (Illinois).

The current practice location address for Richard Pearl is 420 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-3800.

Location: 420 Ne Glen Oak Ave, Peoria, IL, 61603-3105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457389272
Provider Name
Richard Pearl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Ne Glen Oak Ave, Peoria, IL, 61603-3105
Phone Number
309-655-3800
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7215166 01 IL BCBS
036098051-2 05 IL
institution
Provider Business Practice Location Address Details
Address
420 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-3105
Phone Number
309-655-3800
Fax Number
person
Provider Business Mailing Address Details
Address
420 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-3105
Phone Number
309-655-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
036098051 (Illinois)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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