Mr. Kamlesh Samson Macwan
MD | Pediatrics | Male
Mr. Kamlesh Samson Macwan, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Kamlesh Samson Macwan is
530 Ne Glen Oak Ave, St Francis Medical Center, Peoria, Illinois - 61637. He can be contacted on phone at
309-655-2485 and fax number 309-655-2874.
Mr. Kamlesh Samson Macwan is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Kamlesh Samson Macwan is
1851306575 which was assigned by NPPES on 30 Jul, 2006 and it was last updated on 08 Jul, 2007.
Mr. Kamlesh Samson Macwan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Kamlesh Samson Macwan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Kamlesh Samson Macwan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mr. Kamlesh Samson Macwan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ne Glen Oak Ave, St Francis Medical Center
Peoria, IL, 61637
United States |
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| Phone Number : | 309-655-2485 |
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| Fax Number : | 309-655-2874 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851306575 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kamlesh Samson Macwan are as mentioned. Primary taxonomy code for Mr. Kamlesh Samson Macwan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 53948 | IL |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 3248 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Kamlesh Samson Macwan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| IL0105 | Other | IL | JOHN DEERE |
| 03608163702 | MEDICAID | IL | |
| 7215111 | Other | IL | BLUE CROSS BLUE SHIELD |
| 004082 | Other | IL | HEALTH ALLIANCE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1186
Pekin, IL, 61555-1186
United States |
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| Phone Number : | 309-353-4483 |
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| Fax Number : | 309-353-7713 |
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Business Location:
Patients can refer following map for directions to
Mr. Kamlesh Samson Macwan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.