Garcia, Geronimo V

Garcia, Geronimo V is an individual health care provider with primary practice located at 2300 N Edward Street , Decatur IL 62526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Garcia, Geronimo V can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward Street Decatur IL 62526
Phone: (217) 876-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-110147 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-110147 Illinois

Profile Details

NPI number 1417042938
LBN Legal business name Garcia, Geronimo V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417042938 NPPES
Illinois Other 5823820 BCBS OF ILLINOIS GROUP PI
Illinois MEDICAID 036110147-1 BCBS OF ILLINOIS GROUP PI

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