Individual provider · NPI-1

Alexander J. Alonso, M.D.

Internal Medicine, Nephrology · Peoria, IL

NPI number1124152707
StatusActive
Last updated in NPPESJul 21, 2026

Details

NPI
1124152707
Entity type
Individual (NPI-1)
Name
Alexander J. Alonso
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 15, 2007
Certification date
Jul 21, 2026
Last updated
Jul 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology036115179ILYes
207R00000X Internal Medicine036115179IL
207RH0005X Internal Medicine, Hypertension Specialist036115179IL

Practice location

420 Ne Glen Oak Ave Ste 401
Peoria, IL 61603-3112

Phone 309-676-8123 · Fax 309-676-8455

Mailing address

420 Ne Glen Oak Ave Ste 401
Peoria, IL 61603-3112

Phone 309-676-8123 · Fax 309-676-8455

Other practice locations

1762 Washington Rd
Washington, IL 61571-2181

Phone 309-676-8123 · Fax 309-676-8455

180 S Main Ste, Ste I
Canton, IL 61520

Phone 309-676-8123 · Fax 309-676-8455

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