Mavena Derma Centers, Inc. in Arlington Heights - Specialist
Mavena Derma Centers, Inc. - NPI 1396768727
Mavena Derma Centers, Inc. is a Specialist in Arlington Heights, Illinois. Mavena Derma Centers, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mavena Derma Centers, Inc. is 1396768727. The last update date is 2007-11-28.
Mavena Derma Centers, Inc.'s current location address is 1100 W Central Rd, Arlington Heights, Illinois. You can contact this provider via phone number 8474839621 and fax number 8474839625. The mailing address for Mavena Derma Centers, Inc. is 1100 W Central Rd, Arlington Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mavena Derma Centers, Inc. |
|---|---|
| Address | 1100 W Central Rd, Arlington Heights, Illinois |
| Phone Number | 8474839621 |
| Fax Number | 8474839625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Mcginnis Jerri |
| Telephone Number | 8474839621 |
NPI Number Detail
| NPI Number | 1396768727 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-11-28 |
Provider Mailing Address Detail
| Address | 1100 W Central Rd |
|---|---|
| City | Arlington Heights |
| State | Illinois (IL) |
| Post Code | 600052402 |
| Phone Number | 8474839621 |
| Fax Number | 8474839625 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1636236 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Mavena Derma Centers, Inc. by the Centers for Medicare & Medicaid Services?
The Mavena Derma Centers, Inc. has been issued the NPI (National Provider Identifier) 1396768727. 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 Mavena Derma Centers, Inc. is located?
The Mavena Derma Centers, Inc. is situated at the following address: 1100 W Central Rd, Arlington Heights, IL, 600052402.
What is the area of specialization for Mavena Derma Centers, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mavena Derma Centers, Inc. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396768727 to Mavena Derma Centers, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1396768727 to Mavena Derma Centers, Inc. on 2006-07-26.
When was the information pertaining to Mavena Derma Centers, Inc. most recently updated or revised?
The details related to Mavena Derma Centers, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-11-28.