Ricardo Vallejo in Bloomington - Interventional Pain Medicine
Ricardo Vallejo - NPI 1669469706
Ricardo Vallejo is a Interventional Pain Medicine in Bloomington, Illinois. Ricardo Vallejo practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Ricardo Vallejo is 1669469706. The last update date is 2020-03-19.
Ricardo Vallejo's current location address is 1015 S Mercer Ave, Bloomington, Illinois. You can contact this provider via phone number 3096624321 and fax number 3096614532. The mailing address for Ricardo Vallejo is 1015 S Mercer Ave, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricardo Vallejo |
|---|---|
| Address | 1015 S Mercer Ave, Bloomington, Illinois |
| Phone Number | 3096624321 |
| Fax Number | 3096614532 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669469706 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 1015 S Mercer Ave |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617017107 |
| Phone Number | 3096624321 |
| Fax Number | 3096614532 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 36107002 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36107002 | IL | -- |
Post Comment/ Review Below
What is the Ricardo Vallejo's unique identification number?
The Ricardo Vallejo has been assigned the NPI (National Provider Identifier) Number 1669469706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Ricardo Vallejo is physically located?
The Ricardo Vallejo is situated at the following address: 1015 S Mercer Ave, Bloomington, IL 617017107.
What is Ricardo Vallejo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ricardo Vallejo is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.
On what date did the Ricardo Vallejo receive the assignment of its 1669469706 from the Centers for Medicare & Medicaid Services?
The Ricardo Vallejo was issued its 1669469706 by the Centers for Medicare & Medicaid Services on 2005-10-04.
As of what date were the details related to Ricardo Vallejo most recently updated or revised?
The information pertaining to Ricardo Vallejo, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-19.