Carbondale Family Medicine,Llc in Carbondale - Family Medicine
Carbondale Family Medicine,Llc - NPI 1518023530
Carbondale Family Medicine,Llc is a Family Medicine in Carbondale, Illinois. Carbondale Family Medicine,Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carbondale Family Medicine,Llc is 1518023530. The last update date is 2011-01-11.
Carbondale Family Medicine,Llc's current location address is 190 High Forest Dr, Carbondale, Illinois. You can contact this provider via phone number 6185490300. The mailing address for Carbondale Family Medicine,Llc is 190 High Forest Dr, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carbondale Family Medicine,Llc |
|---|---|
| Address | 190 High Forest Dr, Carbondale, Illinois |
| Phone Number | 6185490300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Chaudhry Mukesh |
| Credentials | M.D. |
| Telephone Number | 6185490300 |
NPI Number Detail
| NPI Number | 1518023530 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 190 High Forest Dr |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629038245 |
| Phone Number | 6185490300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-107111 |
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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 |
|---|---|---|---|
| 036-107111 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carbondale Family Medicine,Llc by the Centers for Medicare & Medicaid Services?
The Carbondale Family Medicine,Llc has been issued the NPI (National Provider Identifier) 1518023530 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Carbondale Family Medicine,Llc is physically located?
The Carbondale Family Medicine,Llc is situated at the following address: 190 High Forest Dr, Carbondale, IL 629038245.
What is Carbondale Family Medicine,Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carbondale Family Medicine,Llc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518023530 to Carbondale Family Medicine,Llc?
The Carbondale Family Medicine,Llc received its 1518023530 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information regarding Carbondale Family Medicine,Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carbondale Family Medicine,Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-11.