Dominic Charles Imburgia in Effingham - Family Medicine

Dominic Charles Imburgia - NPI 1114955960

Dominic Charles Imburgia is a Family Medicine in Effingham, Illinois. Dominic Charles Imburgia practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dominic Charles Imburgia is 1114955960. The last update date is 2007-07-08.

Dominic Charles Imburgia's current location address is 901 N Maple St, Effingham, Illinois. You can contact this provider via phone number 2173472900 and fax number 2173472922. The mailing address for Dominic Charles Imburgia is 901 N Maple St, Effingham, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominic Charles Imburgia
Address 901 N Maple St, Effingham, Illinois
Phone Number 2173472900
Fax Number 2173472922
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114955960
Provider Enumeration Date 2006-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 901 N Maple St
City Effingham
State Illinois (IL)
Post Code 624016401
Phone Number 2173472900
Fax Number 2173472922

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
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
238531 IL HEALTHLINK
40058 IL HEALTH ALLIANCE
3664959 IL --
3800063 IL BCBS

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FAQs about Dominic Charles Imburgia

What is the unique 10-digit identification code issued to Dominic Charles Imburgia by the Centers for Medicare & Medicaid Services?

The Dominic Charles Imburgia has been assigned the NPI (National Provider Identifier) 1114955960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dominic Charles Imburgia's facilities are geographically located?

The facilities of Dominic Charles Imburgia are physically situated at the following location: 901 N Maple St, Effingham, IL, 624016401.

What is the Dominic Charles Imburgia's specialty and taxonomy code?

The Dominic Charles Imburgia's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114955960 to Dominic Charles Imburgia?

The Centers for Medicare & Medicaid Services originally issued the 1114955960 to Dominic Charles Imburgia on 2006-06-29.

As of what date were the details related to Dominic Charles Imburgia most recently updated or revised?

The information pertaining to Dominic Charles Imburgia, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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