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Dr. Patricio Luis Ilada IV, MD
Family Medicine Physician in Peoria, Illinois
NPI 1679630156

Patricio Luis Ilada IV is a Family Medicine Physician based in Peoria, IL. Patricio Luis Ilada IV practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Patricio Luis Ilada IV is 1679630156 and holds a License No. 35992 (Illinois).

The current practice location address for Patricio Luis Ilada IV is 5114 N Glen Park Place Rd, Peoria, IL and can be reached out via phone at 309-683-6600 and via fax at 309-683-2412.

Location: 5114 N Glen Park Place Rd, Peoria, IL, 61614-4686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679630156
Provider Name
Patricio Luis Ilada IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5114 N Glen Park Place Rd, Peoria, IL, 61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32089400 05 WI
institution
Provider Business Practice Location Address Details
Address
5114 N Glen Park Place Rd
City
Peoria
State
Illinois
Zip
61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
person
Provider Business Mailing Address Details
Address
5114 N Glen Park Place Rd
City
Peoria
State
Illinois
Zip
61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
35992 (Wisconsin)
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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