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Mr. Kamlesh Samson Macwan, MD
Neonatal-Perinatal Medicine Physician in Peoria, Illinois
NPI 1851306575

Kamlesh Samson Macwan is a Neonatal-Perinatal Medicine Physician based in Pekin, IL and is specialized in Neonatal-Perinatal Medicine. Kamlesh Samson Macwan practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Kamlesh Samson Macwan is 1851306575 and holds a License No. 53948 (Illinois).

The current practice location address for Kamlesh Samson Macwan is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2485 and via fax at 309-655-2874. You can also correspond with Kamlesh Samson Macwan through the mailing address at PO BOX 1186, PEKIN, IL - 61555-1186 (mailing address contact number: 309-353-4483).

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61555-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851306575
Provider Name
Kamlesh Samson Macwan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61555-1186
Phone Number
309-655-2485
Fax Number
309-655-2874
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004082 01 IL HEALTH ALLIANCE
IL0105 01 IL JOHN DEERE
03608163702 05 IL
7215111 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2485
Fax Number
309-655-2874
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2485
Fax Number
309-655-2874
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
3248 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
53948 (Illinois)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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