Surgical Associates Of Mt Vernon, Ltd in Mount Vernon - Specialist
Surgical Associates Of Mt Vernon, Ltd - NPI 1790827491
Surgical Associates Of Mt Vernon, Ltd is a Specialist in Mount Vernon, Illinois. Surgical Associates Of Mt Vernon, Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Surgical Associates Of Mt Vernon, Ltd is 1790827491. The last update date is 2014-01-24.
Surgical Associates Of Mt Vernon, Ltd's current location address is 2 Good Samaritan Way, Mount Vernon, Illinois. You can contact this provider via phone number 6188993980 and fax number 6188994793. The mailing address for Surgical Associates Of Mt Vernon, Ltd is 2 Good Samaritan Way, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical Associates Of Mt Vernon, Ltd |
|---|---|
| Address | 2 Good Samaritan Way, Mount Vernon, Illinois |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Shores Annette |
| Credentials | M.D. |
| Telephone Number | 6188993980 |
NPI Number Detail
| NPI Number | 1790827491 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2014-01-24 |
Provider Mailing Address Detail
| Address | 2 Good Samaritan Way |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 62864 |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
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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What is the unique identifier code issued to Surgical Associates Of Mt Vernon, Ltd by the Centers for Medicare & Medicaid Services?
The Surgical Associates Of Mt Vernon, Ltd has been assigned the NPI (National Provider Identifier) 1790827491. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Surgical Associates Of Mt Vernon, Ltd?
The Surgical Associates Of Mt Vernon, Ltd is situated at 2 Good Samaritan Way, in the city of Mount Vernon, state of IL, with the zip code 62864.
What is the Surgical Associates Of Mt Vernon, Ltd's specialty and taxonomy code?
The Surgical Associates Of Mt Vernon, Ltd's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Surgical Associates Of Mt Vernon, Ltd receive its 1790827491 assignment?
The Surgical Associates Of Mt Vernon, Ltd was assigned its 1790827491 on 2007-02-12, which is the date when this unique identifier was issued to the organization.
When was the Surgical Associates Of Mt Vernon, Ltd's information last updated?
The Surgical Associates Of Mt Vernon, Ltd's information was last updated on 2014-01-24.