Ricardo J Calderon (NPI# 1194886226, PAC ID# 4284684077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1194886226 |
PAC ID by PECOS | 4284684077 |
Professional Enrollment ID | I20070411000271 |
Full Name | Ricardo J Calderon |
Organization Legal Name | ILLINOIS VALLEY COMMUNITY HOSPITAL |
Address |
128 Bucklin St La Salle IL 61301-2389 |
Phone Number | 8152207170 |
Gender | M |
Credential | MD |
Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | FAMILY 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 |
140143 | ST MARGARETS HOSPITAL |
140067 | OSF SAINT FRANCIS MEDICAL CENTER |
140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
128 Bucklin St, La Salle, IL 61301-2389 | 8152207170 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
925 W St, Peru, IL 61354-2757 | 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 |
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 |
Maher N Younes | Otolaryngology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
Street Address |
128 BUCKLIN ST |
City | LA SALLE |
State | IL |
Zip | 61301-2389 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yesenia Valdez | Family Medicine | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
Ronda W Ketner | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
Noelle T Sliker | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
Elizabeth M Davis | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
Liberty K Grzybowski | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
Maryfrances Crist | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
Jamie Bond | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
Sarah Morscheiser | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
David K Kalapp | Chiropractic | 2426 Chartres St, La Salle, IL 61301-1107 | |
Tammy R Thieme | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
Find all physicians in zip 61301 |
City | LA SALLE |
Zip Code | 61301 |
Specialty | FAMILY MEDICINE |
City + Specialty | LA SALLE + FAMILY 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.