Manuel A Duarte in Shorewood - Sports Physician
Manuel A Duarte - NPI 1144427352
Manuel A Duarte is a Sports Physician in Shorewood, Illinois. Manuel A Duarte practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Manuel A Duarte is 1144427352. The last update date is 2007-07-08.
Manuel A Duarte's current location address is 707 W Jefferson St, Shorewood, Illinois. You can contact this provider via phone number 8157258200 and fax number 8157308576. The mailing address for Manuel A Duarte is 707 W Jefferson St, Shorewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel A Duarte |
|---|---|
| Address | 707 W Jefferson St, Shorewood, Illinois |
| Phone Number | 8157258200 |
| Fax Number | 8157308576 |
| Sole Proprietor | N |
| Credentials | CHIROPRACT |
NPI Number Detail
| NPI Number | 1144427352 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 707 W Jefferson St |
|---|---|
| City | Shorewood |
| State | Illinois (IL) |
| Post Code | 60404 |
| Phone Number | 8157258200 |
| Fax Number | 8157308576 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 211653 | CORPORATION | ||
| 1336296359 | NPI CORPORATION | ||
| 9933246 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Manuel A Duarte by the Centers for Medicare & Medicaid Services (CMS)?
The Manuel A Duarte has been assigned the NPI (National Provider Identifier) 1144427352. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Manuel A Duarte is physically located?
The Manuel A Duarte is physically situated at the following address: 707 W Jefferson St, Shorewood, IL, 60404.
What is Manuel A Duarte's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manuel A Duarte is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Manuel A Duarte receive the assignment of its 1144427352 from the Centers for Medicare & Medicaid Services?
The Manuel A Duarte was issued its 1144427352 by the Centers for Medicare & Medicaid Services on 2007-06-29.
As of what date were the Manuel A Duarte's details last updated?
The information pertaining to the Manuel A Duarte, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC