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Dr. Romualdo Lim Pe , MD

Physician β€’ Danville, IL

Deactivated NPI 1447560115 Deactivated in NPPES Male Practitioner
Practice location in NPPES

505 E Roselawn
Danville, IL 618322426

Phone: 2174423301

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 18, 2018; the reason is not published. The records below are historical. They do not show whether Dr. Romualdo Pe currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 15, 2010
NPI Deactivation Date June 18, 2018
NPI Active Period 2010 – 2018

Practice Location & Contact Primary Location

Practice Address

505 E Roselawn

Danville, IL 618322426

Telephone 2174423301

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Danville and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Primary Care Primary Specialty

NUCC Taxonomy Code: 261QP2300X

License # reported to NPPES IL 036-06208
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 18, 2018

NPPES lists this NPI as deactivated as of June 18, 2018; the reason is not published.

βœ…
NPI Profile Active October 15, 2010

NPI status registered as active in NPPES database

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Practice Location (Initial Record) October 15, 2010

Registered at 505 E ROSELAWN, DANVILLE, IL 618322426 (Tel: 2174423301)

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Business Mailing Address (Initial Record) October 15, 2010

Registered at 505 EAST ROSELAWN STREET, DANVILLE, IL 618322426 (Tel: 2174423301)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2010

Recorded as ROMUALDO PE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2010

Clinic/Center (license number reported to NPPES: IL 036-06208)

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Initial NPI Registration & Enumeration October 15, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447560115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2010
Last Update: October 15, 2010
Deactivation Date: June 18, 2018

Mailing Address

505 East Roselawn Street

Danville, IL 618322426

Phone: 2174423301

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.