LOURDES DELGADO-SERRANO


Address: Dept of Pediatrics, 320 E Armstrong, Peoria, IL 61603
Phone: 3096249587

LOURDES DELGADO-SERRANO (NPI# 1508834839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508834839
Entity Type Individual
Full Name LOURDES DELGADO-SERRANO
Other Name LOURDES SERRANO
Credential MD
Practice Address Dept of Pediatrics
320 E Armstrong
Peoria
IL 61603
Mailing Address 1 Illini Dr
Peoria
IL 61605-2576
Practice Telephone 3096249587
Mailing Telephone 3096718503
Enumeration Date 2006-03-11
Last Update Date 2014-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
036083077 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036083077 05
IL BCBS 07215036 01
IL JOHN DEERE IL01CX 01

Office Location

Street Address DEPT OF PEDIATRICS
320 E ARMSTRONG
City PEORIA
State IL
Zip Code 61603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659336030 Umesh Chatrath Pediatrics Dept of Pediatrics, 320 E Armstrong, Peoria, IL 61603 2006-04-19
1952370538 Channing Petrak Pediatrics Dept of Pediatrics, 320 E Armstrong, Peoria, IL 61603 2006-03-16
1356319479 Heather Mclauchlan Pediatrics Dept of Pediatrics, 320 E Armstrong, Peoria, IL 61603 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154336691 Shobha Nookala Psychiatry & Neurology 900 Main St, Suite 400, Peoria, IL 61602-1005 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144851684 Greywood Health Center LLC Psychiatry & Neurology 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 2020-02-03
1285273540 Tms Clinical Services Pllc Psychiatry & Neurology 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 2020-01-03
1942702386 Brain and Wellness Institute LLC Psychiatry & Neurology 30 W Oak St Apt 14a, Chicago, IL 60610-8724 2018-03-01
1598278749 Elemental Treatment Center Ltd Psychiatry & Neurology 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2017-11-09
1225404551 Family Renewed, LLC Psychiatry & Neurology 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 2015-08-21
1487032082 Jerry Francisco Benzl Psychiatry & Neurology 1740 Taylor St., Chicago, IL 60612 2015-05-14
1942697800 Dr Mo S.c Psychiatry & Neurology 2131 W Silverleaf Ln, Addison, IL 60101-6404 2015-04-17
1104234046 Hitekshya Nepal Psychiatry & Neurology 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 2014-07-23
1740558261 Jyoti Shah Psychiatry & Neurology 1335 N Mill St Ste 100, Naperville, IL 60563-2047 2011-12-12
1083921530 Jodi Chase Psychiatry & Neurology 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 2010-09-04
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Competitor

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City PEORIA
Zip Code 61603

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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