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Emmanuel De Jesus Gaeta, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1649020918

Emmanuel De Jesus Gaeta is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Emmanuel De Jesus Gaeta practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Emmanuel De Jesus Gaeta is 1649020918 and holds a License No. (Illinois).

The current practice location address for Emmanuel De Jesus Gaeta is 1 Illini Dr, Peoria, IL and can be reached out via phone at 909-677-8728.

Location: 1 Illini Dr, Peoria, IL, 61605-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649020918
Provider Name
Emmanuel De Jesus Gaeta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Illini Dr, Peoria, IL, 61605-2576
Phone Number
909-677-8728
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
909-677-8728
Fax Number
person
Provider Business Mailing Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
909-677-8728
Fax Number
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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