| Edward Santos, MD | |
|
695 N Kellogg St, Galesburg, IL 61401-2807 | |
| (309) 343-5899 | |
| Not Available |
| Full Name | Edward Santos |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 42 Years |
| Location | 695 N Kellogg St, Galesburg, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407807589 | NPI | - | NPPES |
| 0360861562 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Pathologist Services Llc | 1456405760 | 5 |
| Entity Name | Illinois Pathologist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720218415 PECOS PAC ID: 1456405760 Enrollment ID: O20090821000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Santos, MD Po Box 10140, Peoria, IL 61612-0140 Ph: () - | Edward Santos, MD 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 343-5899 |
Nestor A Pamatmat, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Maria Cleto-quiaoit, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5899 | |
Thomas A Webb, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-345-4562 | |
Mukund P Deoras, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 |