Blas Zelaya in Peoria - Neurodevelopmental Disabilities
Blas Zelaya - NPI 1295704468
Blas Zelaya is a Neurodevelopmental Disabilities in Peoria, Illinois. Blas Zelaya practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Blas Zelaya is 1295704468. The last update date is 2007-07-09.
Blas Zelaya's current location address is 1 Illini Dr, Peoria, Illinois. You can contact this provider via phone number 3096718503. The mailing address for Blas Zelaya is 1 Illini Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blas Zelaya |
|---|---|
| Address | 1 Illini Dr, Peoria, Illinois |
| Phone Number | 3096718503 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295704468 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1 Illini Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616052576 |
| Phone Number | 3096718503 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
|
Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL01BV | IL | JOHN DEERE | |
| 7215036 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Blas Zelaya by the Centers for Medicare & Medicaid Services (CMS)?
The Blas Zelaya has been assigned the NPI (National Provider Identifier) 1295704468. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Blas Zelaya is physically located?
The Blas Zelaya is physically situated at the following address: 1 Illini Dr, Peoria, IL, 616052576.
What is Blas Zelaya's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blas Zelaya's area of specialization is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 2080P0008X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295704468 to Blas Zelaya?
The Centers for Medicare & Medicaid Services originally issued the 1295704468 to Blas Zelaya on 2006-03-17.
As of what date was the information regarding Blas Zelaya, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Blas Zelaya, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.