James W Phoenix in Belvidere - Family Medicine
James W Phoenix - NPI 1700922267
James W Phoenix is a Family Medicine in Belvidere, Illinois. James W Phoenix practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for James W Phoenix is 1700922267. The last update date is 2015-06-18.
James W Phoenix's current location address is 1747 Henry Luckow Ln, Belvidere, Illinois. You can contact this provider via phone number 8159713030 and fax number 8159719895. The mailing address for James W Phoenix is 1747 Henry Luckow Ln, Belvidere, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James W Phoenix |
|---|---|
| Address | 1747 Henry Luckow Ln, Belvidere, Illinois |
| Phone Number | 8159713030 |
| Fax Number | 8159719895 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700922267 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2015-06-18 |
Provider Mailing Address Detail
| Address | 1747 Henry Luckow Ln |
|---|---|
| City | Belvidere |
| State | Illinois (IL) |
| Post Code | 610081702 |
| Phone Number | 8159713030 |
| Fax Number | 8159719895 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36059274 |
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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 |
|---|---|---|---|
| F400205679 | IL | MEDICARE PTAN | |
| 36059274 | IL | -- |
Post Comment/ Review Below
What is the James W Phoenix's 1700922267?
The James W Phoenix's NPI (National Provider Identifier) Number is 1700922267. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James W Phoenix's facilities are geographically located?
The facilities of James W Phoenix are physically situated at the following location: 1747 Henry Luckow Ln, Belvidere, IL, 610081702.
What is the James W Phoenix's area of specialization and corresponding taxonomy classification?
The James W Phoenix's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the James W Phoenix receive its 1700922267?
The James W Phoenix was issued its 1700922267 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to James W Phoenix most recently updated or revised?
The details related to James W Phoenix, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-18.