Rolf R Stavig in Bartlett - Family Medicine

Rolf R Stavig - NPI 1265462089

Rolf R Stavig is a Family Medicine in Bartlett, Illinois. Rolf R Stavig practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rolf R Stavig is 1265462089. The last update date is 2012-05-02.

Rolf R Stavig's current location address is 820 S Il Route 59, Bartlett, Illinois. You can contact this provider via phone number 6304835930 and fax number 6304835939. The mailing address for Rolf R Stavig is 820 S Il Route 59, Bartlett, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Rolf R Stavig
Address 820 S Il Route 59, Bartlett, Illinois
Phone Number 6304835930
Fax Number 6304835939
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265462089
Provider Enumeration Date 2006-07-04
Last Updated Date 2012-05-02

Provider Mailing Address Detail

Address 820 S Il Route 59
City Bartlett
State Illinois (IL)
Post Code 601031694
Phone Number 6304835930
Fax Number 6304835939

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36075767
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
363149833601900 IL CDPG HFS PAYEE ID
222075 IL BLUE CROSS GROUP NUMBER
36-3149833 IL TAX IDENTIFICATION NUMBER
36075767 IL --

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FAQs about Rolf R Stavig

What is the unique identifier code issued to Rolf R Stavig by the Centers for Medicare & Medicaid Services (CMS)?

The Rolf R Stavig has been assigned the NPI (National Provider Identifier) 1265462089. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Rolf R Stavig is physically located?

The Rolf R Stavig is physically situated at the following address: 820 S Il Route 59, Bartlett, IL, 601031694.

What is Rolf R Stavig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rolf R Stavig is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Rolf R Stavig receive its 1265462089 assignment from the Centers for Medicare & Medicaid Services?

The Rolf R Stavig was assigned its 1265462089 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date were the Rolf R Stavig's details last updated?

The information pertaining to the Rolf R Stavig, including its address, specialty, and other details, was most recently updated on 2012-05-02.

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