| Dr Ricardo Vallejo, MD | |
|
1015 S Mercer Ave, Bloomington, IL 61701-7107 | |
| (309) 662-4321 | |
| (309) 661-4532 |
| Full Name | Dr Ricardo Vallejo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 1015 S Mercer Ave, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669469706 | NPI | - | NPPES |
| 036107002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 036107002 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036107002 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricardo Vallejo, MD 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 | Dr Ricardo Vallejo, MD 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 |
Dr. Mark Lanzerotte, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 Ireland Grove Rd, Bloomington, IL 61704 Phone: 309-664-0101 | |
Benjamin Taimoorazy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2203 Eastland Dr, Suite 7, Bloomington, IL 61704 Phone: 309-808-1700 Fax: 309-585-2951 | |
Dr. Edmund Ligman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Dr. Michael Gene Hutmacher, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3 Brookridge Ct, Bloomington, IL 61704 Phone: 309-662-7253 | |
Dr. Amaresh Vydyanathan, MD, MS Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-4321 Fax: 309-661-4532 | |
Dr. John Han, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Dr. Stanley M Aung, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 |