Pedro Lechuga Bernal, PA-C
Physician Assistant in Peoria, IL. Individual provider (NPI-1).
NPI number1053188649
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1053188649
- Entity type
- Individual (NPI-1)
- Name
- Pedro Lechuga Bernal
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2023
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085012395 | IL | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-624-0730 · Fax 309-655-6493
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-624-0730 · Fax 309-655-6493
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