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NPI Code Detail

MEDICARE: RICARDO ANGEL SAGUILAN PA-C

MEDICARE: RICARDO ANGEL SAGUILAN PA-C
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
1363A00000XPhysician Assistant085012133IL
2363AM0700XMedical Physician Assistant085012133IL

General Provider Information

NPI Number : 1376391821
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO ANGEL SAGUILAN PA-C
Provider Business Mailing Address
First Line : 124 SW ADAMS ST
Second Line :
City : PEORIA
State : IL
Zip : 61602-1308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W LOMBARD ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-2029
Country : US
Telephone Number : 563-333-5827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 03/04/2026

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Directions to “ RICARDO ANGEL SAGUILAN PA-C” Practice Location

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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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