James Owen Ertle is a Dermatology in Hinsdale, Illinois. James Owen Ertle practices all healthcare services and medical treatments related to Dermatology. The NPI Number for James Owen Ertle is 1992762173. The last update date is 2012-06-29.
James Owen Ertle's current location address is 333 Chestnut St, Hinsdale, Illinois. You can contact this provider via phone number 6303256880 and fax number 6303255975. The mailing address for James Owen Ertle is 333 Chestnut St, Hinsdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Owen Ertle |
|---|---|
| Address | 333 Chestnut St, Hinsdale, Illinois |
| Phone Number | 6303256880 |
| Fax Number | 6303255975 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992762173 |
|---|---|
| Provider Enumeration Date | 2006-04-30 |
| Last Updated Date | 2012-06-29 |
Provider Mailing Address Detail
| Address | 333 Chestnut St |
|---|---|
| City | Hinsdale |
| State | Illinois (IL) |
| Post Code | 605213247 |
| Phone Number | 6303256880 |
| Fax Number | 6303255975 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36043180 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1992762173 | IL | NPI | |
| 36043180 | IL | -- | |
| 313480 | IL | MEDICARE ID/TYPE UNSPECIF | |
| 2215658 | IL | BCBSIL |
Post Comment/ Review Below
What is the unique identifier code issued to James Owen Ertle by the Centers for Medicare & Medicaid Services?
The James Owen Ertle has been assigned the NPI (National Provider Identifier) 1992762173. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Owen Ertle located?
The James Owen Ertle is located at 333 Chestnut St, Hinsdale, IL 605213247.
What is James Owen Ertle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Owen Ertle's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992762173 to James Owen Ertle?
The James Owen Ertle received its 1992762173 assignment from the Centers for Medicare & Medicaid Services on 2006-04-30.
As of what date were the James Owen Ertle's details last updated?
The information pertaining to the James Owen Ertle, including its address, specialty, and other details, was most recently updated on 2012-06-29.