Look up the most recent NPI and PECOS records

Eileen Anne Vicaldo Alonto

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as EILEEN ANNE ALONTO.

Based on the most recent information from CMS, provider Eileen Anne Vicaldo Alonto is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326290677
Provider Type
Individual
Full Name
Alonto, Eileen Anne Vicaldo
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2008
Last Updated
11/16/2023

Contact Information

Practice Location

820 S Damen Ave., Chicago, IL 60612

(312) 569-6043

(701) 234-7230

Mailing Location

820 S Damen Ave., Chicago, IL 60612

(312) 569-6043

(312) 569-8788

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036151087 Illinois
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 12202 North Dakota

Provider Identifiers

ID	Description	Issuer
ID 16715	Description Medicaid	Issuer Unlisted North Dakota

Eileen Anne Vicaldo Alonto

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Dhungel, Samriddh

Traisman, Benjamin

Nauman, Ahmad

Mennella, Concetta C

Louie, Cynthia

Cuartas Mesa, Maria Cristina

Kannayiram, Sandhya Shri

Stobierska, Dorota

Akande, Yetunde Felicia

Mba, Benjamin