MEDICARE: DR. JULIO A SANTIAGO 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	207Q00000X	Family Medicine Physician	036093955	IL

General Provider Information

NPI Number	:	1144216185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO A SANTIAGO 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	:	256 S SOANGETAHA RD
Second Line	:
City	:	GALESBURG
State	:	IL
Zip	:	61401-5586
Country	:	US
Telephone Number	:	309-233-2836
Fax Number	:	888-464-1233

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/01/2025

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