Dennis D Costerisan in Decatur - Family Medicine
Dennis D Costerisan - NPI 1578565701
Dennis D Costerisan is a Family Medicine in Decatur, Illinois. Dennis D Costerisan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dennis D Costerisan is 1578565701. The last update date is 2022-01-25.
Dennis D Costerisan's current location address is 320 E Central Ave, Decatur, Illinois. You can contact this provider via phone number 2178779117 and fax number 2178773078. The mailing address for Dennis D Costerisan is 320 E Central Ave, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis D Costerisan |
|---|---|
| Address | 320 E Central Ave, Decatur, Illinois |
| Phone Number | 2178779117 |
| Fax Number | 2178773078 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578565701 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2022-01-25 |
Provider Mailing Address Detail
| Address | 320 E Central Ave |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 6252146650 |
| Phone Number | 2178779117 |
| Fax Number | 2178773078 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36071025 |
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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 |
|---|---|---|---|
| 80105720 | IL | RAILROAD MEDICARE | |
| 178026 | IL | HEALTHLINK | |
| 360710252 | IL | -- | |
| 7005197 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Dennis D Costerisan's 1578565701?
The Dennis D Costerisan's NPI (National Provider Identifier) Number is 1578565701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dennis D Costerisan located?
The Dennis D Costerisan is located at 320 E Central Ave, Decatur, IL 6252146650.
What is Dennis D Costerisan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dennis D Costerisan's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Dennis D Costerisan receive its 1578565701 assignment?
The Dennis D Costerisan was assigned its 1578565701 on 2005-06-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dennis D Costerisan most recently updated?
The details pertaining to the Dennis D Costerisan, including its address, specialty, and other relevant information, were last refreshed on 2022-01-25.
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