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1073887527

NPI Code Detail

MEDICARE: DAVID AKERELE MD

MEDICARE: DAVID AKERELE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0208X	Pediatric Infectious Diseases Physician	036128483	IL
2	208000000X	Pediatrics Physician	036128483	IL

General Provider Information

NPI Number	:	1073887527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID AKERELE MD

Provider Business Mailing Address
First Line	:	PO BOX 9727
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61612-9727
Country	:	US
Telephone Number	:	309-886-9172
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 N UNIVERSITY ST
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61604-1324
Country	:	US
Telephone Number	:	309-886-9172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	11/10/2023

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Directions to “ DAVID AKERELE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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