PEDRO BANTUG DEGUZMAN MD NPI 1902834229

NPI Information

  • NPI: 1902834229
  • Provider Name: PEDRO BANTUG DEGUZMAN, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 9951 ROCK CUT XING
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 639-8500

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NPI Details

Pedro Bantug Deguzman, MD is an internal medicine in Loves Park, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Pedro Bantug Deguzman, MD NPI is 1902834229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9951 ROCK CUT XING
LOVES PARK, IL
ZIP 61111-999
Phone: (815) 639-8500
Fax: (815) 639-8501

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036093831ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110127987MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR INDIVIDUAL #
2CC5050MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MEDICARE GROUP #
3K34871MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4553180OTHERILLINOISMEDICARE GROUP PTAN
5846930MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP #
6L70973MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
7801290MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP #
8G33986MEDICARE UPINILLINOIS
9553180OTHERILLINOISMEDICARE GROUP #
10553180020MEDICARE PINILLINOIS
11036093831MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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