| Dr David Vallejo Jr, MD | |
|
13000 Maple Ave, Blue Island, IL 60406-2318 | |
| (708) 385-6100 | |
| (708) 385-2051 |
| Full Name | Dr David Vallejo Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 13000 Maple Ave, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699085381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 125.055159 (Illinois) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 036.130292 (Illinois) | Secondary |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Entity Name | Adventist Health Partners, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932650496 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Entity Name | Northwest Associates For Women's Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033143532 PECOS PAC ID: 2264408038 Enrollment ID: O20040903000194 |
| Entity Name | Vna Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Susan Orhan Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113362 PECOS PAC ID: 5991712911 Enrollment ID: O20060316000404 |
| Entity Name | Obhg Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
| Entity Name | Uptodate Healthcare For Women Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639414113 PECOS PAC ID: 3072752385 Enrollment ID: O20130618000394 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Vallejo Jr, MD 13000 Maple Ave, Blue Island, IL 60406-2318 Ph: (708) 385-6100 | Dr David Vallejo Jr, MD 13000 Maple Ave, Blue Island, IL 60406-2318 Ph: (708) 385-6100 |
Miyoung Won, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Randall Jay Gordon, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Alfonso Mejia-zelaya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Alfonso Delgranado, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100 Fax: 708-385-2051 | |
Angela I Risser, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 |