Kelly Dineen is a Specialist in Gurnee, Illinois. Kelly Dineen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly Dineen is 1871592543. The last update date is 2020-04-22.
Kelly Dineen's current location address is 5250 Grand Ave # 14-390, Gurnee, Illinois. You can contact this provider via phone number 8472121015. The mailing address for Kelly Dineen is 5250 Grand Ave # 14-390, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Dineen |
|---|---|
| Address | 5250 Grand Ave # 14-390, Gurnee, Illinois |
| Phone Number | 8472121015 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871592543 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 5250 Grand Ave # 14-390 |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600311877 |
| Phone Number | 8472121015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 71006880 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Dineen?
The Kelly Dineen has been issued the NPI (National Provider Identifier) 1871592543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kelly Dineen is physically located?
The Kelly Dineen is situated at the following address: 5250 Grand Ave # 14-390, Gurnee, IL 600311877.
What is the Kelly Dineen's specialty and taxonomy code?
The Kelly Dineen's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Kelly Dineen receive its 1871592543 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Dineen was assigned its 1871592543 on 2005-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kelly Dineen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Dineen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-22.