Michelle Marie Hephner in Glen Ellyn - Family Medicine

Michelle Marie Hephner - NPI 1235346719

Michelle Marie Hephner is a Family Medicine in Glen Ellyn, Illinois. Michelle Marie Hephner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michelle Marie Hephner is 1235346719. The last update date is 2013-04-04.

Michelle Marie Hephner's current location address is 885 Roosevelt Rd, Glen Ellyn, Illinois. You can contact this provider via phone number 6305453760 and fax number 6305453769. The mailing address for Michelle Marie Hephner is 885 Roosevelt Rd, Glen Ellyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Marie Hephner
Address 885 Roosevelt Rd, Glen Ellyn, Illinois
Phone Number 6305453760
Fax Number 6305453769
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1235346719
Provider Enumeration Date 2007-05-16
Last Updated Date 2013-04-04

Provider Mailing Address Detail

Address 885 Roosevelt Rd
City Glen Ellyn
State Illinois (IL)
Post Code 601376141
Phone Number 6305453760
Fax Number 6305453769

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36118939
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
487450 IL MEDICARE GROUP NUMBER
222075 IL BLUE CROSS GROUP ID
920780 IL MEDICARE GROUP NUMBER
36118939 IL --
363149833601900 IL CDPG HFS PAYEE ID
P00686147 IL MEDICARE RAILROAD
CA4748 IL MEDICARE RR GROUP NUMBER

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FAQs about Michelle Marie Hephner

What is the unique provider identifier assigned to Michelle Marie Hephner?

The Michelle Marie Hephner has been issued the NPI (National Provider Identifier) 1235346719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Michelle Marie Hephner's physical address?

The Michelle Marie Hephner is physically located at 885 Roosevelt Rd, in the city of Glen Ellyn, IL, with the postal code 601376141.

What is Michelle Marie Hephner's area of expertise and its corresponding taxonomy classification?

The Michelle Marie Hephner'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 Michelle Marie Hephner receive its 1235346719 assignment from the Centers for Medicare & Medicaid Services?

The Michelle Marie Hephner was assigned its 1235346719 on 2007-05-16, 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 Michelle Marie Hephner most recently updated or revised?

The details related to Michelle Marie Hephner, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-04.

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