Nicholas George Tzanetakos in Montgomery - Family Medicine
Nicholas George Tzanetakos - NPI 1720126535
Nicholas George Tzanetakos is a Family Medicine in Montgomery, Illinois. Nicholas George Tzanetakos practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nicholas George Tzanetakos is 1720126535. The last update date is 2017-07-07.
Nicholas George Tzanetakos's current location address is 99 Boulder Hill Pass, Montgomery, Illinois. You can contact this provider via phone number 6308972848 and fax number 6308974498. The mailing address for Nicholas George Tzanetakos is 99 Boulder Hill Pass, Montgomery, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas George Tzanetakos |
|---|---|
| Address | 99 Boulder Hill Pass, Montgomery, Illinois |
| Phone Number | 6308972848 |
| Fax Number | 6308974498 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720126535 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2017-07-07 |
Provider Mailing Address Detail
| Address | 99 Boulder Hill Pass |
|---|---|
| City | Montgomery |
| State | Illinois (IL) |
| Post Code | 605380 |
| Phone Number | 6308972848 |
| Fax Number | 6308974498 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36066510 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36066510 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nicholas George Tzanetakos?
The Nicholas George Tzanetakos has been issued the NPI (National Provider Identifier) 1720126535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Nicholas George Tzanetakos is physically located?
The Nicholas George Tzanetakos is situated at the following address: 99 Boulder Hill Pass, Montgomery, IL 605380.
What is Nicholas George Tzanetakos's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicholas George Tzanetakos is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Nicholas George Tzanetakos receive its 1720126535?
The Nicholas George Tzanetakos was issued its 1720126535 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Nicholas George Tzanetakos most recently updated or refreshed?
The details pertaining to the Nicholas George Tzanetakos, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-07-07.
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