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NPI Code Detail

MEDICARE: DR. TRICIA SCERBA

MEDICARE:  DR. TRICIA  SCERBA
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
1208000000XPediatrics Physician036100229IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467534065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRICIA SCERBA
Provider Business Mailing Address
First Line : 320 E CENTRAL AVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-4665
Country : US
Telephone Number : 217-877-9117
Fax Number : 217-877-3082
Provider Business Practice Location Address
First Line : 320 E CENTRAL AVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-4665
Country : US
Telephone Number : 217-877-9117
Fax Number : 217-877-3082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 06/24/2021

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Directions to “ DR. TRICIA SCERBA ” Practice Location

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