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Search › Illinois › 363L00000X

Angelito Tacderas, APN

NPI 1467785014 · on the registry since 2009 · sole proprietor

Practice

Address
3331 W Deyoung St
Ste 308
Marion, IL 62959
Phone
(618) 997-1200
Fax
(618) 997-1212
Organisation at this address
Memorial Management Inc
Memorial Management Inc
Marion Pediatric Clinic Sc
Deaconess Illinois Clinic, Inc
Deaconess Illinois Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois