Christa S Pestka in Johnston City - Family Medicine

Christa S Pestka - NPI 1356342331

Christa S Pestka is a Family Medicine in Johnston City, Illinois. Christa S Pestka practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Christa S Pestka is 1356342331. The last update date is 2022-04-13.

Christa S Pestka's current location address is 14410 Route 37, Johnston City, Illinois. You can contact this provider via phone number 6189836911 and fax number 6189836913. The mailing address for Christa S Pestka is 14410 Route 37, Johnston City, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Christa S Pestka
Address 14410 Route 37, Johnston City, Illinois
Phone Number 6189836911
Fax Number 6189836913
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356342331
Provider Enumeration Date 2005-08-02
Last Updated Date 2022-04-13

Provider Mailing Address Detail

Address 14410 Route 37
City Johnston City
State Illinois (IL)
Post Code 629511427
Phone Number 6189836911
Fax Number 6189836913

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 036-107039
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
CF3444 IL MEDICARE RR
36107039 IL --
370966854023 IL --

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FAQs about Christa S Pestka

What is the unique identification code assigned to Christa S Pestka by the Centers for Medicare & Medicaid Services?

The Christa S Pestka has been issued the NPI (National Provider Identifier) 1356342331. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Christa S Pestka is physically located?

The Christa S Pestka is physically situated at the following address: 14410 Route 37, Johnston City, IL, 629511427.

What is Christa S Pestka'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 Christa S Pestka is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Christa S Pestka receive its 1356342331 assignment from the Centers for Medicare & Medicaid Services?

The Christa S Pestka was assigned its 1356342331 on 2005-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Christa S Pestka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Christa S Pestka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-13.

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