IndividualActive
Andres Maldonado, M.D.
NPI 1467765040 · Neurological Surgery Physician · Peoria, IL
Provider details
- NPI number
- 1467765040
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036150380 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 E Pennsylvania Ave
Peoria, IL 61603-3089
Phone: (093) 624-4000
Fax: (309) 624-4010
Approximate (ZIP-level) locationGet directions
Mailing address
75 Liberty Pl
Weehawken, NJ 07086-7014
Registry dates
- Enumerated
- 2010-07-23
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.