Ted G Van Acker in Herrin - Dermatology

Ted G Van Acker - NPI 1720025562

Ted G Van Acker is a Dermatology in Herrin, Illinois. Ted G Van Acker practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Ted G Van Acker is 1720025562. The last update date is 2007-07-08.

Ted G Van Acker's current location address is 220 N Park Ave, Herrin, Illinois. You can contact this provider via phone number 6189423344 and fax number 6189425045. The mailing address for Ted G Van Acker is 220 N Park Ave, Herrin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted G Van Acker
Address 220 N Park Ave, Herrin, Illinois
Phone Number 6189423344
Fax Number 6189425045
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1720025562
Provider Enumeration Date 2006-06-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 220 N Park Ave
City Herrin
State Illinois (IL)
Post Code 629483150
Phone Number 6189423344
Fax Number 6189425045

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CB3700 IL RAILROAD MEDICARE GRP #
290730 IL HEALTHLINK PROV NUMBER
10007459 IL BCBS GROUP NUMBER
L84853 IL UMWA PROVIDER NUMBER

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FAQs about Ted G Van Acker

What is the Ted G Van Acker's 1720025562?

The Ted G Van Acker's NPI (National Provider Identifier) Number is 1720025562. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ted G Van Acker is located?

The Ted G Van Acker is situated at the following address: 220 N Park Ave, Herrin, IL, 629483150.

What is Ted G Van Acker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ted G Van Acker is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

When did the Ted G Van Acker receive its 1720025562?

The Ted G Van Acker was issued its 1720025562 on 2006-06-01, which is the date when the organization was assigned this unique identifier.

When was the information related to Ted G Van Acker most recently updated or refreshed?

The details pertaining to the Ted G Van Acker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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