Edwin Okeson in Rockford - Family Medicine

Edwin Okeson - NPI 1619951019

Edwin Okeson is a Family Medicine in Rockford, Illinois. Edwin Okeson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edwin Okeson is 1619951019. The last update date is 2010-05-05.

Edwin Okeson's current location address is 1200 W State St, Rockford, Illinois. You can contact this provider via phone number 8154901600. The mailing address for Edwin Okeson is 1200 W State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Okeson
Address 1200 W State St, Rockford, Illinois
Phone Number 8154901600
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619951019
Provider Enumeration Date 2005-11-30
Last Updated Date 2010-05-05

Provider Mailing Address Detail

Address 1200 W State St
City Rockford
State Illinois (IL)
Post Code 611022112
Phone Number 8154901600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36067805
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
36067805 IL --

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FAQs about Edwin Okeson

What is the unique identification code assigned to Edwin Okeson by the Centers for Medicare & Medicaid Services?

The Edwin Okeson has been issued the NPI (National Provider Identifier) 1619951019. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Edwin Okeson is physically located?

The Edwin Okeson is physically situated at the following address: 1200 W State St, Rockford, IL, 611022112.

What is Edwin Okeson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Edwin Okeson is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619951019 to Edwin Okeson?

The Centers for Medicare & Medicaid Services originally issued the 1619951019 to Edwin Okeson on 2005-11-30.

When was the information pertaining to Edwin Okeson most recently updated or revised?

The details related to Edwin Okeson, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-05.

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