| Thomas Halperin, MD | |
|
7801 N Knoxville Ave, Peoria, IL 61614-2076 | |
| (309) 692-6088 | |
| Not Available |
| Full Name | Thomas Halperin |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7801 N Knoxville 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 |
|---|---|---|---|
| 1689615163 | NPI | - | NPPES |
| IL0140 | Other | IL | JOHN DEERE |
| 008435 | Other | IL | HEALTH ALLIANCE |
| 472310 | Other | IL | HEALTHLINK |
| 7215059 | Other | IL | BCBS PPO |
| 0360459481 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | (Illinois) | Primary |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Halperin, MD 5100 Reliable Parkway, Chicago, IL 60686-0001 Ph: (309) 692-6088 | Thomas Halperin, MD 7801 N Knoxville Ave, Peoria, IL 61614-2076 Ph: (309) 692-6088 |
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: May Accept Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Accepting Medicare Assignments 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 |