Roberto Gordillo Perez

MD | Pediatric Nephrology | Male

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Complete Profile:

Roberto Gordillo Perez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Roberto Gordillo Perez
Other Name :	Roberto Gordillo
Credential :	MD
Gender :	Male

Business Address:

Roberto Gordillo Perez 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, Department Of Pediatrics Peoria, IL, 61637-0001 United States
Phone Number :	309-624-3313
Fax Number :	309-655-2565

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 :	1407084759
NPI Entity Type :	Individual
First Enrolment Date :	25 Jun, 2009
Last Updated On :	12 Apr, 2011

Medicare Participation:

Roberto Gordillo Perez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193878627
Medicare Enrollment ID :	I20160705000875
Primary Specialty :	Nephrology
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Roberto Gordillo Perez accepts medicare insurance.

Group Practice Association:

Roberto Gordillo Perez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Roberto Gordillo Perez is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Seattle Children's Hospital	9032021050	61	4800 Sand Point Way Ne Seattle, WA - 981053901 Ph: 2069872000	Yes
The Association Of Chrmc And University Physicians	9133032964	209	34920 Enchanted Pkwy S Federal Way, WA - 980038325 Ph: 2538385878	Yes
The Association Of Chrmc And University Physicians	9133032964	209	4800 Sand Point Way Ne Seattle, WA - 981053901 Ph: 2065262000	Yes

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 Roberto Gordillo Perez are as mentioned. Primary taxonomy code for Roberto Gordillo Perez, MD is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	036.126924	IL
2080P0210X	Pediatrics Pediatric Nephrology	Yes	036.126924	IL

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 :	530 Ne Glen Oak Ave, Department Of Pediatrics Peoria, IL, 61637-0001 United States
Phone Number :	309-624-3313
Fax Number :	309-655-2565

Business Location:

Patients can refer following map for directions to Roberto Gordillo Perez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.