Lidia B Ickes in Naperville - General Practice
Lidia B Ickes - NPI 1578758140
Lidia B Ickes is a General Practice in Naperville, Illinois. Lidia B Ickes practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lidia B Ickes is 1578758140. The last update date is 2011-04-04.
Lidia B Ickes's current location address is 55 S Main St, Naperville, Illinois. You can contact this provider via phone number 6308482010. The mailing address for Lidia B Ickes is 55 S Main St, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lidia B Ickes |
|---|---|
| Address | 55 S Main St, Naperville, Illinois |
| Phone Number | 6308482010 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578758140 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2011-04-04 |
Provider Mailing Address Detail
| Address | 55 S Main St |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605405372 |
| Phone Number | 6308482010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN 18015 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Lidia B Ickes by the Centers for Medicare & Medicaid Services?
The Lidia B Ickes has been assigned the NPI (National Provider Identifier) 1578758140. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lidia B Ickes is located?
The Lidia B Ickes is situated at the following address: 55 S Main St, Naperville, IL, 605405372.
What is Lidia B Ickes's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lidia B Ickes is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Lidia B Ickes receive its 1578758140 assignment from the Centers for Medicare & Medicaid Services?
The Lidia B Ickes was assigned its 1578758140 by the Centers for Medicare & Medicaid Services on 2007-09-07.
As of what date were the Lidia B Ickes's details last updated?
The information pertaining to the Lidia B Ickes, including its address, specialty, and other details, was most recently updated on 2011-04-04.
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