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MR. ISRAEL P SERRANO BS CADC MISA
NPI 1124770235
Counselor - Addiction (Substance Use Disorder) in East Peoria, IL

Active since January 20, 2022
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611(309) 699-9700(309) 699-2937 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2022, Jan 20, 2022 (2 updates tracked since 2022).

About Mr. Israel P Serrano Bs Cadc Misa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ISRAEL P SERRANO BS CADC MISA (NPI 1124770235) is an individual addiction (substance use disorder) provider in East Peoria, Illinois, licensed in Illinois (12103) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1124770235
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ISRAEL P SERRANOCredential: BS CADC MISA
Location Address731 SABRINA DR UNIT CEast Peoria, IL 61611-3582
Mailing Address731 Sabrina Dr Unit CEast Peoria, IL 61611-3582 · (309) 699-9700 · Fax (309) 699-2937
Phone(309) 699-9700
Fax(309) 699-2937
Sole ProprietorYes
Enumeration DateJanuary 20, 2022
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1124770235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 12103
731 SABRINA DR UNIT C, East Peoria, IL 61611
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Other Names 1

Other Name (5)Mr. Israel P Serrano Bs Cadc Misa

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEORIA TREATMENT CENTER, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (877) 592-5901
BRIANA NESBIT LPN
Licensed Practical Nurse
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
CHRISTINA MCGREW APN
Nurse Practitioner
731 SABRINA DR UNIT C
PEORIA, IL 61611
Tazewell County (309) 699-9700
ELENA MARIA RICKARD CADC
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
MRS. ANETA M BYRD LPN
Licensed Practical Nurse
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
NICOLE J REESE BSW
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
PATHERESA A MCCAMY LPN
Licensed Practical Nurse
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
CHRISTOPHER WALKER BA
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Israel Serrano's NPI number?

The NPI number for Israel Serrano is 1124770235. It was assigned to this individual provider in the NPPES registry on January 20, 2022. The provider is also known as Mr. Israel P Serrano Bs Cadc Misa.

Where is Israel Serrano located?

Israel Serrano practices at 731 Sabrina Dr Unit C, East Peoria, IL 61611. The listed phone number is (309) 699-9700.

What is Israel Serrano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Israel Serrano was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.