Amy L Illescas
Medical Specialty
Professional ID
- NPI: 1346269123
- PECOS ID: 3870575517
- Enrollment ID: I20040604000910
- Credential(MD, DO, DPM): MD
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1999
Hospital Service
- Hospital CCN1: 010104
- Business Name (LBN)1: Grandview Medical Center
- Hospital CCN2: 010056
- Business Name (LBN)2: St Vincents Birmingham
- Hospital CCN3: 010016
- Business Name (LBN)3: Shelby Baptist Medical Center
Medical Practices
- Organization Name: Southern Care Internal Medicine Pc
- Group Practice ID assigned by PECOS: 2668642794
- Number of Group Practice member: 2
Location
- Address1: 2827 Greystone Commercial Blvd
- Address2:
- City: Birmingham
- State: Alabama
- Zip Code: 35242
- Phone Number: (205)547-2323
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):