Michael J Blacconiere in Des Plaines - Clinical
Michael J Blacconiere - NPI 1801977269
Michael J Blacconiere is a Clinical in Des Plaines, Illinois. Michael J Blacconiere practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael J Blacconiere is 1801977269. The last update date is 2007-07-08.
Michael J Blacconiere's current location address is 1339 Margret St, Des Plaines, Illinois. You can contact this provider via phone number 8478276641. The mailing address for Michael J Blacconiere is 1339 Margret St, Des Plaines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Blacconiere |
|---|---|
| Address | 1339 Margret St, Des Plaines, Illinois |
| Phone Number | 8478276641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1801977269 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1339 Margret St |
|---|---|
| City | Des Plaines |
| State | Illinois (IL) |
| Post Code | 600181522 |
| Phone Number | 8478276641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71004033 |
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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 |
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What is the unique 10-digit identification code assigned to Michael J Blacconiere by the Centers for Medicare & Medicaid Services?
The Michael J Blacconiere has been issued the NPI (National Provider Identifier) 1801977269, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael J Blacconiere's physical address?
The Michael J Blacconiere is physically located at 1339 Margret St, in the city of Des Plaines, IL, with the postal code 600181522.
What is Michael J Blacconiere's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael J Blacconiere is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Michael J Blacconiere receive its 1801977269 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Blacconiere was assigned its 1801977269 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Michael J Blacconiere's information last updated?
The Michael J Blacconiere's information was last updated on 2007-07-08.