Elsy A Devassy is a Specialist in Lockport, Illinois. Elsy A Devassy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elsy A Devassy is 1417950783. The last update date is 2014-01-22.
Elsy A Devassy's current location address is 16612 W 159th St, Lockport, Illinois. You can contact this provider via phone number 8155883900 and fax number 8155881414. The mailing address for Elsy A Devassy is 16612 W 159th St, Lockport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elsy A Devassy |
|---|---|
| Address | 16612 W 159th St, Lockport, Illinois |
| Phone Number | 8155883900 |
| Fax Number | 8155881414 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417950783 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2014-01-22 |
Provider Mailing Address Detail
| Address | 16612 W 159th St |
|---|---|
| City | Lockport |
| State | Illinois (IL) |
| Post Code | 6044180060 |
| Phone Number | 8155883900 |
| Fax Number | 8155881414 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36063297 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36063297 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elsy A Devassy by the Centers for Medicare & Medicaid Services?
The Elsy A Devassy has been issued the NPI (National Provider Identifier) 1417950783, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Elsy A Devassy's facilities are situated?
The facilities of Elsy A Devassy are physically located at the following address: 16612 W 159Th St, Lockport, IL, 6044180060.
What is the Elsy A Devassy's specialty and taxonomy code?
The Elsy A Devassy's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Elsy A Devassy receive its 1417950783 assignment?
The Elsy A Devassy was assigned its 1417950783 on 2005-05-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Elsy A Devassy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elsy A Devassy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-22.