Indra Pal (NPI# 1740366004, PAC ID# 0244238210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740366004 |
| PAC ID by PECOS | 0244238210 |
| Professional Enrollment ID | I20061130000050 |
| Full Name | Indra Pal |
| Organization Legal Name | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| Address |
925 W St Peru IL 61354-2757 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759274442 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 925 W St, Peru, IL 61354-2757 | ILLINOIS VALLEY COMMUNITY HOSPITAL | |
| 104 E Bridge St, Streator, IL 61364-2976 | 8156720567 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| Organization Legal Name | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilan D Bornstein | Obstetrics/gynecology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| David Patrick O Donnell | Family Medicine | Illinois Valley Community Hospital | 520 W Walnut St, Oglesby, IL 61348-1400 |
| Ricardo J Calderon | Family Medicine | Illinois Valley Community Hospital | 128 Bucklin St, La Salle, IL 61301-2389 |
| Lucille I Damasauskas | Emergency Medicine | Illinois Valley Community Hospital | 310 Walnut St, Peru, IL 61354-1946 |
| Mark A Fernandez | Internal Medicine | Illinois Valley Community Hospital | 920 W St, Peru, IL 61354-2763 |
| Upendra K Sinha | Orthopedic Surgery | Illinois Valley Community Hospital | 501 Oakley Ave, Streator, IL 61364-1002 |
| Kelly Deboer | Family Medicine | Illinois Valley Community Hospital | 310 Walnut St, Peru, IL 61354-1946 |
| Daniel E Obrien | Emergency Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Dana M Hoffman | Certified Nurse Midwife (cnm) | Illinois Valley Community Hospital | 920 W St, Peru, IL 61354-2763 |
| Saamer M Siddiqi | Hospitalist | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Street Address |
925 W ST |
| City | PERU |
| State | IL |
| Zip | 61354-2757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilan D Bornstein | Obstetrics/gynecology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Douglas M Leone | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 925 W St, Suite 212, Peru, IL 61354-2769 |
| Daniel E Obrien | Emergency Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Saamer M Siddiqi | Hospitalist | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Maher N Younes | Otolaryngology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Colette A Lehn | Certified Registered Nurse Anesthetist (crna) | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Mario E Cote | Internal Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Elie Chukri Daniel | Podiatry | 925 W St, Suite 212, Peru, IL 61354-2757 | |
| Robert J Mitchell | Orthopedic Surgery | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Catherine R Renk | Physician Assistant | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dotun I Oyedijo | Radiation Oncology | 4391 Venture Dr, Peru, IL 61354-1018 | |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| David J Coynik | Dermatology | David J Coynik, Md,pc | 4413 Progress Blvd, Peru, IL 61354-1109 |
| Dale R Chilson | Otolaryngology | St. Margarets Hospital | 4040 Progress Blvd, Peru, IL 61354-1124 |
| Katrina Mcquilkin | Chiropractic | 3815 Progress Blvd, Suite C, Peru, IL 61354-1188 | |
| Bulent Mamikoglu | Otolaryngology | 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193 | |
| Rakesh K Garg | Neurology | 4231 Progress Blvd, Peru, IL 61354-1193 | |
| Angela Benavides | Neurology | St. Margarets Hospital | 1400 Midtown Plaza, Peru, IL 61354-1269 |
| Lacey M Strack | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Rachel L Colby | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Find all physicians in zip 61354 | |||
| City | PERU |
| Zip Code | 61354 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PERU + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.