MEDICARE: DR. SUDHIR S SEKHON 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	207RH0003X	Hematology & Oncology Physician	ME 84762	FL
2	207RH0003X	Hematology & Oncology Physician	036-091734	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04515143	OTHER	IL	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	36091734	OTHER	IL	LICENSE

General Provider Information

NPI Number	:	1598763955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUDHIR S SEKHON MD

Provider Business Mailing Address
First Line	:	8940 N WOOD SAGE RD
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-7822
Country	:	US
Telephone Number	:	309-243-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8940 N WOOD SAGE RD
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-7822
Country	:	US
Telephone Number	:	309-243-3000
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	11/19/2025

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Directions to “ DR. SUDHIR S SEKHON MD” Practice Location

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