Doris Jean Mcculley in Flossmoor - Specialist

Doris Jean Mcculley - NPI 1518058148

Doris Jean Mcculley is a Specialist in Flossmoor, Illinois. Doris Jean Mcculley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Doris Jean Mcculley is 1518058148. The last update date is 2007-07-08.

Doris Jean Mcculley's current location address is 2930 Macfarlane Cres, Flossmoor, Illinois. You can contact this provider via phone number 7087983091 and fax number 7087984192. The mailing address for Doris Jean Mcculley is 2930 Macfarlane Cres, Flossmoor, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Doris Jean Mcculley
Address 2930 Macfarlane Cres, Flossmoor, Illinois
Phone Number 7087983091
Fax Number 7087984192
Sole Proprietor N
Credentials M.D.,M.B.A

NPI Number Detail

NPI Number 1518058148
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2930 Macfarlane Cres
City Flossmoor
State Illinois (IL)
Post Code 604221428
Phone Number 7087983091
Fax Number 7087984192

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.

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FAQs about Doris Jean Mcculley

What is the unique 10-digit identification code assigned to Doris Jean Mcculley by the Centers for Medicare & Medicaid Services?

The Doris Jean Mcculley has been issued the NPI (National Provider Identifier) 1518058148, which 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 Doris Jean Mcculley is located?

The Doris Jean Mcculley is situated at the following address: 2930 Macfarlane Cres, Flossmoor, IL, 604221428.

What is Doris Jean Mcculley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Doris Jean Mcculley's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518058148 to Doris Jean Mcculley?

The Centers for Medicare & Medicaid Services originally issued the 1518058148 to Doris Jean Mcculley on 2006-09-27.

As of what date were the details related to Doris Jean Mcculley most recently updated or revised?

The information pertaining to Doris Jean Mcculley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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