| Dr Rahul K Chawla, MD | |
| 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
| (309) 655-2250 | |
| Not Available | 
| Full Name | Dr Rahul K Chawla | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 530 Ne Glen Oak Ave, Peoria, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548201189 | NPI | - | NPPES | 
| Entity Name | North Valley Emergency Specialists | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285655209 PECOS PAC ID: 4284537416 Enrollment ID: O20040127000856 | 
| Entity Name | Banner Physician Super Specialists Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Rahul K Chawla, MD 6808 N Basket Oak Dr, Edwards, IL 61528-9455 Ph: (309) 713-6350 | Dr Rahul K Chawla, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2250 | 
| Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
| Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
| Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
| Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241 | |
| Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
| Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 | |
| Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000 |