Susan A Paca is a Family Medicine in Park Forest, Illinois. Susan A Paca practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan A Paca is 1942289665. The last update date is 2007-07-08.
Susan A Paca's current location address is 114 N Orchard Dr, Park Forest, Illinois. You can contact this provider via phone number 7082833018. The mailing address for Susan A Paca is 114 N Orchard Dr, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan A Paca |
|---|---|
| Address | 114 N Orchard Dr, Park Forest, Illinois |
| Phone Number | 7082833018 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942289665 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 114 N Orchard Dr |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661200 |
| Phone Number | 7082833018 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan A Paca by the Centers for Medicare & Medicaid Services?
The Susan A Paca has been issued the NPI (National Provider Identifier) 1942289665 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan A Paca?
The Susan A Paca is situated at 114 N Orchard Dr, in the city of Park Forest, state of IL, with the zip code 604661200.
What is the Susan A Paca's area of specialization and corresponding taxonomy classification?
The Susan A Paca's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942289665 to Susan A Paca?
The Centers for Medicare & Medicaid Services originally issued the 1942289665 to Susan A Paca on 2006-01-11.
As of what date were the details related to Susan A Paca most recently updated or revised?
The information pertaining to Susan A Paca, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY