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DR. RICARDO VALLEJO MD
NPI 1669469706
Anesthesiology - Pain Medicine in Bloomington, IL

Active since October 04, 2005
1015 S MERCER AVE, BLOOMINGTON, IL 61701(309) 662-4321(309) 661-4532 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ricardo Vallejo Md NPPES

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

DR. RICARDO VALLEJO MD (NPI 1669469706) is an individual pain medicine provider in Bloomington, Illinois, licensed in Illinois (036107002) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1669469706
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. RICARDO VALLEJOCredential: MD
Location Address1015 S MERCER AVEBloomington, IL 61701-7107
Mailing Address1015 S Mercer AveBloomington, IL 61701-7107 · (309) 662-4321 · Fax (309) 661-4532
Phone(309) 662-4321
Fax(309) 661-4532
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1669469706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in IL · 036107002
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 036107002 (IL)
1015 S MERCER AVE, Bloomington, IL 61701
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Other Identifiers 1

Medicaid036107002IL

Other Providers at the Same Location NPPES 20

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

BETHANY JACKSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488
KAITLIN ROTHOLTZ
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MORGAN RIEBE
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MAKAYLEE JOHNSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (866) 727-8274
DONNY BOUNDS RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-4321
MS. RACHEL A GAWTHORP RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-0088
HANNAH KEUN
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
SENA NTUMY
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488

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 Ricardo Vallejo's NPI number?

The NPI number for Ricardo Vallejo is 1669469706. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Ricardo Vallejo located?

Ricardo Vallejo practices at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (309) 662-4321.

What is Ricardo Vallejo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Ricardo Vallejo was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.