| Pratap Attaluri, MD | |
|
3248 Vandever Ave, Pekin, IL 61554 | |
| (309) 347-5522 | |
| (309) 347-7302 |
| Full Name | Pratap Attaluri |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 50 Years |
| Location | 3248 Vandever Ave, Pekin, 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 |
|---|---|---|---|
| 1689639213 | NPI | - | NPPES |
| 036084923 | Medicaid | IL | |
| 00303608492301 | Other | IL | CONTROLLED SUBSTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036084923 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Tazwood Mental Health Center Inc | 1850291741 | 6 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Tazwood Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083671127 PECOS PAC ID: 1850291741 Enrollment ID: O20040108000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Pratap Attaluri, MD 3248 Vandever Ave, Pekin, IL 61554 Ph: (309) 347-5522 | Pratap Attaluri, MD 3248 Vandever Ave, Pekin, IL 61554 Ph: (309) 347-5522 |
Maria Esperanza Kabatay, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 S 13th St, Suite J, Pekin, IL 61554 Phone: 309-353-0740 Fax: 309-353-0629 |