- Practice location
- 200 E Pennsylvania Ave, Peoria, IL 61603-3089
- Phone
- 093-624-4000
- Fax
- 309-624-4010
- Last updated
- July 24, 2020
Andres L Maldonado is a Neurological Surgery based in Peoria, IL. Andres L Maldonado practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Andres L Maldonado is 1467765040 and holds a License No. 036150380 (IL). The current practice location address for Andres L Maldonado is 200 E Pennsylvania Ave, Peoria, IL 61603-3089 and can be reached out via phone at 093-624-4000 and via fax at 309-624-4010.
Provider Profile Details
- NPI Number
- 1467765040
- Provider Name
- Andres L Maldonado
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 E Pennsylvania Ave, Peoria, IL 61603-3089
- Phone Number
- 093-624-4000
- Fax Number
- 309-624-4010
- Primary Taxonomy
- Neurological Surgery · 207T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 23, 2010
- Last Update Date
- July 24, 2020
- Certification Date
- July 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 E Pennsylvania Ave
Peoria, IL 61603-3089 - City
- Peoria
- State
- Illinois
- Zip
- 61603-3089
- Phone Number
- 093-624-4000
- Fax Number
- 309-624-4010
Provider Business Mailing Address Details
- Address
- 75 Liberty Pl
Floor 2
Weehawken, NJ 07086-7014 - City
- Weehawken
- State
- NJ
- Zip
- 07086-7014
- Phone Number
- 786-712-1583
License Information
- License Number
- 036150380
- License State
- IL
- Taxonomy
- Neurological Surgery · 207T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andres L Maldonado, MD?
The NPI number of Dr. Andres L Maldonado, MD is 1467765040. It was assigned on July 23, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Andres L Maldonado, MD?
Dr. Andres L Maldonado, MD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in IL under license number 036150380.
Where does Dr. Andres L Maldonado, MD practice?
The practice location is 200 E Pennsylvania Ave, Peoria, IL 61603-3089. The office can be reached at 093-624-4000 (phone) or 309-624-4010 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467765040 directly on the NPPES registry website.