Mr. Angelito Dariel Tacderas
APN | Nurse Practitioner | 16+ years Exp
3331 W Deyoung St, Ste 308, Marion
Illinois, 62959-5896
618-997-1200
Mr. Angelito Dariel Tacderas is a Marion, Illinois based nurse practitioner with 16 years of experience in . He completed his graduation in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Angelito Dariel Tacderas is 209.007762 in Illinois. His current practice location is 3331 W Deyoung St, Ste 308, Marion. Patients can reach him at 618-997-1200 or can fax him at 618-997-1212. Mr. Angelito Dariel Tacderas is APN and his NPI number (Unique professional ID assigned by NPPES) is 1467785014.
Mr. Angelito Dariel Tacderas has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Angelito Dariel Tacderas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Angelito Dariel Tacderas |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APN |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3331 W Deyoung St, Ste 308, Marion,
Illinois, 62959-5896 |
| Phone: | 618-997-1200 |
| Fax: | 618-997-1212 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6406987643 |
| Enrollment ID: | I20100701000503 |
| NPI Number: | 1467785014 |
| NPI Enumeration Date: | 15 Sep, 2009 |
| NPI Last Update On: | 15 Sep, 2009 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Angelito Dariel Tacderas are as mentioned below.
| License Number | Specialization | State | Status | |
| 209.007762 | | Illinois | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Angelito Dariel Tacderas is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Advanced Kidney Institute, L.l.c. (5991743262) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Angelito Dariel Tacderas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PENDING | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Angelito Dariel Tacderas
Po Box 430,
Marion, Illinois |
| Zip: | 62959-0430 |
| Phone Number: | 618-997-1200 |
| Fax Number: | 618-997-1212 |
Patients can reach Mr. Angelito Dariel Tacderas at
3331 W Deyoung St, Ste 308, Marion, Illinois or can
call to book an appointment on 618-997-1200.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.