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SANDRA WANEMI SECONDUS M.D.
NPI 1548098478
Pediatrics in Peoria, IL

Active since July 23, 2024
530 NE GLEN OAK AVE., PEORIA, IL 61637(309) 655-2274 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Jul 23, 2024 (2 updates tracked since 2024).

About Sandra Wanemi Secondus M.d. NPPES

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

SANDRA WANEMI SECONDUS M.D. (NPI 1548098478) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (125.083826) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1548098478
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDRA WANEMI SECONDUSCredential: M.D.
Location Address530 NE GLEN OAK AVE.Peoria, IL 61637
Mailing Address530 Ne Glen Oak Ave.Peoria, IL 61637 · (309) 655-2274
Phone(309) 655-2274
Sole ProprietorNo
Enumeration DateJuly 23, 2024
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
✔ NPI 1548098478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125.083826
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
530 NE GLEN OAK AVE., Peoria, IL 61637
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Other Providers at the Same Location NPPES 5

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

MISS DEBOSHRUTI CHAKRABORTY M.B.B.S
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE.
PEORIA, IL 61637
Peoria County (309) 655-2274
DR. REUBEN ANTONY MD
Pediatrics (Pediatric Hematology-Oncology)
530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,
PEORIA, IL 61637
Peoria County (646) 784-7829
MR. MUHAMMAD AHMED M.D
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE.
PEORIA, IL 61637
Peoria County (309) 655-2000
HASAN SHOAIB M.D.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE., OSF ST. FRANCIS MEDICAL CENTER
PEORIA, IL 61637
Peoria County (309) 624-9351
YUSRA SELLAL MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE., OFFICE 5655, NORTH BUILDING
PEORIA, IL 61637
Peoria County (309) 655-2274

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 Sandra Secondus's NPI number?

The NPI number for Sandra Secondus is 1548098478. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Sandra Secondus located?

Sandra Secondus practices at 530 NE Glen Oak Ave., Peoria, IL 61637. The listed phone number is (309) 655-2274.

What is Sandra Secondus's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sandra Secondus was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.