Ricardo Vallejo (NPI# 1669469706, PAC ID# 0749179752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1669469706 |
| PAC ID by PECOS | 0749179752 |
| Professional Enrollment ID | I20040315000976 |
| Full Name | Ricardo Vallejo |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Address |
101 S Major St Eureka IL 61530-1246 |
| Phone Number | 3096624321 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 4486543691 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141309 | ADVOCATE EUREKA HOSPITAL |
| 140162 | ST JOSEPH MEDICAL CENTER |
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 2406 E Empire St, Bloomington, IL 61704-3630 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 101 S Major St, Eureka, IL 61530-1246 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela S Birdsell | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Francesco Vetri | Anesthesiology | Millennium Pain Center LLC | 301 W Hay, Decatur, IL 62526-4162 |
| Kimberly Kristine Lopez | Nurse Practitioner | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Avni Gupta | Anesthesiology | Millennium Pain Center LLC | 900 Main St, 780 Methodist Comprehensive Pain and Spine Center, Peoria, IL 61602-1067 |
| Ramsin M Benyamin | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Atiq Rehman | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Leonard Jenkins | Certified Registered Nurse Anesthetist (crna) | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Meliha Malagic | Nurse Practitioner | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Tracy Lynn Schierer | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Eric Jeffries | Nurse Practitioner | Millennium Pain Center LLC | 1880 W Winchester Rd, Suite 101, Libertyville, IL 60048-5321 |
| Street Address |
101 S MAJOR ST |
| City | EUREKA |
| State | IL |
| Zip | 61530-1246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane C Fogo | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christopher R Hughes | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Brian Shore | Physician Assistant | Central Illinois Orthopedic Surgery II LLC. | 101 S Major St, Eureka, IL 61530-1246 |
| David L Miller | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christie L Rocke | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Amit S Parkhe | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Advocate Eureka Hospital, Eureka, IL 61530-1246 |
| Clark Anderson Ii | Physician Assistant | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Donald E Penn Jr. | Gastroenterology | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Steven K Jones | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Connor T Schuler | Physician Assistant | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay Laxmi Misra | Gastroenterology | Digestive Disease Consultants Ltd | 101 S Major, Eureka, IL 61530-1246 |
| Scott C Oconnor | Podiatry | 105 S Major, Eureka, IL 61530-1246 | |
| Steven C Ingalsbe | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Kerry M Maloney | Nurse Practitioner | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Sharon L Moy | Family Practice | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Joseph S. Borreggine | Podiatry | Preferred Podiatry Group PC | 610 W Cruger Ave, Eureka, IL 61530-1329 |
| Carrie A Musselman | Chiropractic | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Joy C Schramm | Nurse Practitioner | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Todd W Gander | Chiropractic | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Amanda K Krutke | Certified Clinical Nurse Specialist (cns) | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Find all physicians in zip 61530 | |||
| City | EUREKA |
| Zip Code | 61530 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | EUREKA + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Ricardo Vallejo.
| 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.