Zelaya, Blas

Zelaya, Blas is an individual health care provider with primary practice located at 515 Ne Glen Oak Ave Pediatric Neurology #308, Peoria IL 61603-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Zelaya, Blas can be contacted via phone (309) 624-9844.

Contact Information

Primary practice address
515 Ne Glen Oak Ave Pediatric Neurology #308 Peoria IL 61603-3165
Phone: (309) 624-9844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X Illinois

Profile Details

NPI number 1295704468
LBN Legal business name Zelaya, Blas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1295704468 NPPES
Illinois Other IL01BV JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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