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 |
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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 |
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Provider Enumeration Date | 2006-06-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 901 N Maple St |
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City | Effingham |
State | Illinois (IL) |
Post Code | 624016401 |
Phone Number | 2173472900 |
Fax Number | 2173472922 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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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 |
Post Comment/ Review Below
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.