Marie Ellen Corcoran in Wheaton - Family Medicine
Marie Ellen Corcoran - NPI 1386759710
Marie Ellen Corcoran is a Family Medicine in Wheaton, Illinois. Marie Ellen Corcoran practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marie Ellen Corcoran is 1386759710. The last update date is 2013-04-03.
Marie Ellen Corcoran's current location address is 7 Blanchard Cir, Wheaton, Illinois. You can contact this provider via phone number 6305109009 and fax number 6305100152. The mailing address for Marie Ellen Corcoran is 7 Blanchard Cir, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Ellen Corcoran |
|---|---|
| Address | 7 Blanchard Cir, Wheaton, Illinois |
| Phone Number | 6305109009 |
| Fax Number | 6305100152 |
| Sole Proprietor | N |
| Credentials | D./O. |
NPI Number Detail
| NPI Number | 1386759710 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
| Address | 7 Blanchard Cir |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601892039 |
| Phone Number | 6305109009 |
| Fax Number | 6305100152 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36058883 |
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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 |
|---|---|---|---|
| 222075 | IL | BLUE CROSS GROUP NUMBER | |
| 10044842 | R/R MEDICARE | ||
| 36058883 | IL | -- | |
| 363149833601900 | IL | CDPG HFS PAYEE ID | |
| 363149833 | IL | TAX IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the Marie Ellen Corcoran's 1386759710?
The Marie Ellen Corcoran's NPI (National Provider Identifier) Number is 1386759710. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marie Ellen Corcoran is located?
The Marie Ellen Corcoran is situated at the following address: 7 Blanchard Cir, Wheaton, IL, 601892039.
What is Marie Ellen Corcoran's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marie Ellen Corcoran's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Marie Ellen Corcoran receive its 1386759710 assignment from the Centers for Medicare & Medicaid Services?
The Marie Ellen Corcoran was assigned its 1386759710 by the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date were the details related to Marie Ellen Corcoran most recently updated or revised?
The information pertaining to Marie Ellen Corcoran, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-03.