Stephen Leo Raben in Mascoutah - Family Medicine

Stephen Leo Raben - NPI 1649228990

Stephen Leo Raben is a Family Medicine in Mascoutah, Illinois. Stephen Leo Raben practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephen Leo Raben is 1649228990. The last update date is 2010-02-02.

Stephen Leo Raben's current location address is 739 N Jefferson St, Mascoutah, Illinois. You can contact this provider via phone number 6185668810 and fax number 6185667121. The mailing address for Stephen Leo Raben is 739 N Jefferson St, Mascoutah, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Leo Raben
Address 739 N Jefferson St, Mascoutah, Illinois
Phone Number 6185668810
Fax Number 6185667121
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1649228990
Provider Enumeration Date 2006-05-05
Last Updated Date 2010-02-02

Provider Mailing Address Detail

Address 739 N Jefferson St
City Mascoutah
State Illinois (IL)
Post Code 622581447
Phone Number 6185668810
Fax Number 6185667121

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36085055
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
36085055 IL --

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FAQs about Stephen Leo Raben

What is the unique identifier code issued to Stephen Leo Raben by the Centers for Medicare & Medicaid Services?

The Stephen Leo Raben has been assigned the NPI (National Provider Identifier) 1649228990. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Stephen Leo Raben is physically located?

The Stephen Leo Raben is situated at the following address: 739 N Jefferson St, Mascoutah, IL 622581447.

What is Stephen Leo Raben's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen Leo Raben is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649228990 to Stephen Leo Raben?

The Centers for Medicare & Medicaid Services originally issued the 1649228990 to Stephen Leo Raben on 2006-05-05.

As of what date were the details related to Stephen Leo Raben most recently updated or revised?

The information pertaining to Stephen Leo Raben, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-02.

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