Jesus Rene Dadivas in Niles - Family Medicine

Jesus Rene Dadivas - NPI 1760555775

Jesus Rene Dadivas is a Family Medicine in Niles, Illinois. Jesus Rene Dadivas practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jesus Rene Dadivas is 1760555775. The last update date is 2007-07-09.

Jesus Rene Dadivas's current location address is 8430 W Peter Ter, Niles, Illinois. You can contact this provider via phone number 8478253906 and fax number 7737728770. The mailing address for Jesus Rene Dadivas is 8430 W Peter Ter, Niles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesus Rene Dadivas
Address 8430 W Peter Ter, Niles, Illinois
Phone Number 8478253906
Fax Number 7737728770
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1760555775
Provider Enumeration Date 2006-11-16
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 8430 W Peter Ter
City Niles
State Illinois (IL)
Post Code 607141852
Phone Number 8478253906
Fax Number 7737728770

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36-53403
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

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FAQs about Jesus Rene Dadivas

What is the unique 10-digit identifier code assigned to Jesus Rene Dadivas by the Centers for Medicare & Medicaid Services?

The Jesus Rene Dadivas has been issued the NPI (National Provider Identifier) 1760555775 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jesus Rene Dadivas's facilities are situated?

The facilities of Jesus Rene Dadivas are physically located at the following address: 8430 W Peter Ter, Niles, IL, 607141852.

What is Jesus Rene Dadivas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jesus Rene Dadivas is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Jesus Rene Dadivas receive the assignment of its 1760555775 from the Centers for Medicare & Medicaid Services?

The Jesus Rene Dadivas was issued its 1760555775 by the Centers for Medicare & Medicaid Services on 2006-11-16.

As of what date was the information pertaining to Jesus Rene Dadivas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jesus Rene Dadivas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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