Charles S Colodny in Libertyville - Family Medicine

Charles S Colodny - NPI 1659363893

Charles S Colodny is a Family Medicine in Libertyville, Illinois. Charles S Colodny practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles S Colodny is 1659363893. The last update date is 2007-07-08.

Charles S Colodny's current location address is 716 S Milwaukee Ave, Libertyville, Illinois. You can contact this provider via phone number 8473621393 and fax number 8473623797. The mailing address for Charles S Colodny is 716 S Milwaukee Ave, Libertyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles S Colodny
Address 716 S Milwaukee Ave, Libertyville, Illinois
Phone Number 8473621393
Fax Number 8473623797
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1659363893
Provider Enumeration Date 2005-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 716 S Milwaukee Ave
City Libertyville
State Illinois (IL)
Post Code 600483225
Phone Number 8473621393
Fax Number 8473623797

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36057093
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
36057093 IL --

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FAQs about Charles S Colodny

What is the Charles S Colodny's unique identification number?

The Charles S Colodny has been assigned the NPI (National Provider Identifier) Number 1659363893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Charles S Colodny's facilities are situated?

The facilities of Charles S Colodny are physically located at the following address: 716 S Milwaukee Ave, Libertyville, IL, 600483225.

What is Charles S Colodny's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles S Colodny is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659363893 to Charles S Colodny?

The Centers for Medicare & Medicaid Services originally issued the 1659363893 to Charles S Colodny on 2005-08-15.

When was the information related to Charles S Colodny most recently updated or refreshed?

The details pertaining to the Charles S Colodny, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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