Blake Conley Rodgers in Shiloh - Family Medicine
Blake Conley Rodgers - NPI 1366501140
Blake Conley Rodgers is a Family Medicine in Shiloh, Illinois. Blake Conley Rodgers practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Blake Conley Rodgers is 1366501140. The last update date is 2021-03-15.
Blake Conley Rodgers's current location address is 1414 Cross St Ste 230, Shiloh, Illinois. You can contact this provider via phone number 6186071260 and fax number 6186244856. The mailing address for Blake Conley Rodgers is 1414 Cross St Ste 230, Shiloh, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Conley Rodgers |
|---|---|
| Address | 1414 Cross St Ste 230, Shiloh, Illinois |
| Phone Number | 6186071260 |
| Fax Number | 6186244856 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366501140 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 1414 Cross St Ste 230 |
|---|---|
| City | Shiloh |
| State | Illinois (IL) |
| Post Code | 622692988 |
| Phone Number | 6186071260 |
| Fax Number | 6186244856 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 27273 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27273 | NE | NE STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Blake Conley Rodgers by the Centers for Medicare & Medicaid Services?
The Blake Conley Rodgers has been assigned the NPI (National Provider Identifier) 1366501140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Blake Conley Rodgers's facilities are situated?
The facilities of Blake Conley Rodgers are physically located at the following address: 1414 Cross St Ste 230, Shiloh, IL, 622692988.
What is Blake Conley Rodgers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blake Conley Rodgers 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 assign the 1366501140 to Blake Conley Rodgers?
The Centers for Medicare & Medicaid Services assigned the 1366501140 to Blake Conley Rodgers on 2006-12-07.
As of what date were the details related to Blake Conley Rodgers most recently updated or revised?
The information pertaining to Blake Conley Rodgers, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-15.