Kenneth Lee Oder in Chicago - Family Medicine
Kenneth Lee Oder - NPI 1710984273
Kenneth Lee Oder is a Family Medicine in Chicago, Illinois. Kenneth Lee Oder practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Lee Oder is 1710984273. The last update date is 2016-07-13.
Kenneth Lee Oder's current location address is Po Box 776351, Chicago, Illinois. You can contact this provider via phone number 5025889490 and fax number 5022725116. The mailing address for Kenneth Lee Oder is Po Box 776351, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Oder |
|---|---|
| Address | Po Box 776351, Chicago, Illinois |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710984273 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2016-07-13 |
Provider Mailing Address Detail
| Address | Po Box 776351 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606776351 |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25195 |
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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 |
|---|---|---|---|
| 64251952 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Lee Oder by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Lee Oder has been assigned the NPI (National Provider Identifier) 1710984273. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kenneth Lee Oder's facilities are geographically located?
The facilities of Kenneth Lee Oder are physically situated at the following location: Po Box 776351, Chicago, IL, 606776351.
What is Kenneth Lee Oder's area of expertise and its corresponding taxonomy classification?
The Kenneth Lee Oder's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kenneth Lee Oder receive its 1710984273 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Lee Oder was assigned its 1710984273 on 2005-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth Lee Oder most recently updated or revised?
The details related to Kenneth Lee Oder, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-13.