Edward Shackleford in Oak Brook - Emergency Medicine
Edward Shackleford - NPI 1790769800
Edward Shackleford is a Emergency Medicine in Oak Brook, Illinois. Edward Shackleford practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Edward Shackleford is 1790769800. The last update date is 2007-07-08.
Edward Shackleford's current location address is Po Box 3043, Oak Brook, Illinois. You can contact this provider via phone number 6307340200 and fax number 6307341560. The mailing address for Edward Shackleford is Po Box 3043, Oak Brook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Shackleford |
|---|---|
| Address | Po Box 3043, Oak Brook, Illinois |
| Phone Number | 6307340200 |
| Fax Number | 6307341560 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1790769800 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 3043 |
|---|---|
| City | Oak Brook |
| State | Illinois (IL) |
| Post Code | 605223043 |
| Phone Number | 6307340200 |
| Fax Number | 6307341560 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 42953021 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30099700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edward Shackleford by the Centers for Medicare & Medicaid Services?
The Edward Shackleford has been issued the NPI (National Provider Identifier) 1790769800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edward Shackleford's facilities are geographically located?
The facilities of Edward Shackleford are physically situated at the following location: Po Box 3043, Oak Brook, IL, 605223043.
What is Edward Shackleford's area of expertise and its corresponding taxonomy classification?
The Edward Shackleford's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edward Shackleford receive the assignment of its 1790769800 from the Centers for Medicare & Medicaid Services?
The Edward Shackleford was issued its 1790769800 by the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date were the Edward Shackleford's details last updated?
The information pertaining to the Edward Shackleford, including its address, specialty, and other details, was most recently updated on 2007-07-08.