Walter Tatch in Gurnee - Oral And Maxillofacial Surgery
Walter Tatch - NPI 1285714568
Walter Tatch is a Oral And Maxillofacial Surgery in Gurnee, Illinois. Walter Tatch practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Walter Tatch is 1285714568. The last update date is 2013-08-14.
Walter Tatch's current location address is 310 S Greenleaf St Ste 203, Gurnee, Illinois. You can contact this provider via phone number 8476235915 and fax number 8476231174. The mailing address for Walter Tatch is 310 S Greenleaf St Ste 203, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Tatch |
|---|---|
| Address | 310 S Greenleaf St Ste 203, Gurnee, Illinois |
| Phone Number | 8476235915 |
| Fax Number | 8476231174 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285714568 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2013-08-14 |
Provider Mailing Address Detail
| Address | 310 S Greenleaf St Ste 203 |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600315708 |
| Phone Number | 8476235915 |
| Fax Number | 8476231174 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 21002076 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Walter Tatch by the Centers for Medicare & Medicaid Services?
The Walter Tatch has been assigned the NPI (National Provider Identifier) 1285714568 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Walter Tatch?
The Walter Tatch is physically situated at 310 S Greenleaf St Ste 203, in the city of Gurnee, state of IL, with the postal code 600315708.
What is Walter Tatch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walter Tatch is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
When did Walter Tatch receive its 1285714568 assignment?
The Walter Tatch was assigned its 1285714568 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
When was the Walter Tatch's information last updated?
The Walter Tatch's information was last updated on 2013-08-14.