Physiomed, Sc is a Specialist in Glenview, Illinois. Physiomed, Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Physiomed, Sc is 1962599332. The last update date is 2020-08-22.
Physiomed, Sc's current location address is 1910 Waukegan Rd, Glenview, Illinois. You can contact this provider via phone number 8479981414. The mailing address for Physiomed, Sc is 1910 Waukegan Rd, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Physiomed, Sc |
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Address | 1910 Waukegan Rd, Glenview, Illinois |
Phone Number | 8479981414 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | De Jesus Ralph |
Credentials | M.D. |
Telephone Number | 8479981414 |
NPI Number Detail
NPI Number | 1962599332 |
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Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1910 Waukegan Rd |
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City | Glenview |
State | Illinois (IL) |
Post Code | 600251714 |
Phone Number | 8479981414 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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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What is the unique 10-digit identification code issued to Physiomed, Sc by the Centers for Medicare & Medicaid Services?
The Physiomed, Sc has been assigned the NPI (National Provider Identifier) 1962599332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Physiomed, Sc?
The Physiomed, Sc is physically situated at 1910 Waukegan Rd, in the city of Glenview, state of IL, with the postal code 600251714.
What is Physiomed, Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Physiomed, Sc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date was the 1962599332 assigned to Physiomed, Sc?
The Physiomed, Sc was issued its 1962599332 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Physiomed, Sc most recently updated or revised?
The information pertaining to Physiomed, Sc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.