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Dr. Javier Andres Tellagorry

Vascular Surgeon

3331 W Deyoung St Suite 100
Marion , Illinois 62959-5896

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Image

Dr. Javier Andres Tellagorry

Vascular Surgeon

3331 W Deyoung St Suite 100
Marion , Illinois 62959-5896

(618) 997-6680

Write a Review Save Call

Dr. Javier Andres Tellagorry

Vascular Surgeon

3331 W Deyoung St Suite 100
Marion , Illinois 62959-5896

(618) 997-6680 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Vascular Surgeon

Languages spoken

  • English

Location

3331 W Deyoung St Suite 100 Marion , Illinois 62959-5896

First Address

  • Dr. Javier Andres Tellagorry
  • 3331 W Deyoung St Suite 100
  • Marion, IL
  • Zip : 62959-5896
  • Fax : (618) 997-6680
  • Phone : (618) 998-7600

Second Address

  • Dr. Javier Andres Tellagorry
  • 3331 W Deyoung St Suite 100
  • Marion, IL
  • Zip : 62959-5896
  • Fax : (618) 997-6680
  • Phone : (618) 998-7600

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FAQs


Where did Dr. Javier Andres Tellagorry attend graduate school?

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Where did Dr. Javier Andres Tellagorry do his residency?

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Where did Dr. Javier Andres Tellagorry do his fellowship?

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Is Dr. Javier Andres Tellagorry board certified?

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What type of doctor is Dr. Javier Andres Tellagorry

Vascular Surgeon

In what state does Dr. Javier Andres Tellagorry practice in?

Illinois

Where is Dr. Javier Andres Tellagorry ’s practice located?

3331 W Deyoung St Suite 100 , Marion, Illinois, 62959-5896

What is Dr. Javier Andres Tellagorry ’s gender?

Male

Is Dr. Javier Andres Tellagorry a sole practitioner?

No

Is Dr. Javier Andres Tellagorry accepting new patients?

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What languages does Dr. Javier Andres Tellagorry speak?

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Does Dr. Javier Andres Tellagorry accept insurance?

Yes, Dr. Javier Andres Tellagorry accepts insurance

Does Dr. Javier Andres Tellagorry offers telemedicine?

Dr. Javier Andres Tellagorry has not indicated if he offers telemedicine

What is Dr. Javier Andres Tellagorry ’s professional license number?

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What is Dr. Javier Andres Tellagorry ’s NPI number?

1053544627

Does Dr. Javier Andres Tellagorry have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0129X Vascular Surgeon 036141173 IL

National Provider Identifier

NPI 1053544627
Provider Name Dr. Javier Andres Tellagorry
First Address Marion, IL 62959-5896
Second Address Marion, IL 62959-5896
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/08/2009
Last Update Date 17/10/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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