Jerry Marvin Porzemsky in Chicago - Clinical
Jerry Marvin Porzemsky - NPI 1982794673
Jerry Marvin Porzemsky is a Clinical in Chicago, Illinois. Jerry Marvin Porzemsky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Marvin Porzemsky is 1982794673. The last update date is 2007-07-08.
Jerry Marvin Porzemsky's current location address is 2909 W Fargo Ave, Chicago, Illinois. You can contact this provider via phone number 7732625757 and fax number 7732624018. The mailing address for Jerry Marvin Porzemsky is 2909 W Fargo Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Marvin Porzemsky |
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Address | 2909 W Fargo Ave, Chicago, Illinois |
Phone Number | 7732625757 |
Fax Number | 7732624018 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1982794673 |
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Provider Enumeration Date | 2006-10-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2909 W Fargo Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606451222 |
Phone Number | 7732625757 |
Fax Number | 7732624018 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 711197 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry Marvin Porzemsky by the Centers for Medicare & Medicaid Services?
The Jerry Marvin Porzemsky has been issued the NPI (National Provider Identifier) 1982794673. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerry Marvin Porzemsky is located?
The Jerry Marvin Porzemsky is situated at the following address: 2909 W Fargo Ave, Chicago, IL, 606451222.
What is Jerry Marvin Porzemsky's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Marvin Porzemsky is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982794673 to Jerry Marvin Porzemsky?
The Centers for Medicare & Medicaid Services originally issued the 1982794673 to Jerry Marvin Porzemsky on 2006-10-13.
As of what date was the information pertaining to Jerry Marvin Porzemsky, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Marvin Porzemsky, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY