Clarence D Engstrom in Zion - Family Medicine
Clarence D Engstrom - NPI 1356327514
Clarence D Engstrom is a Family Medicine in Zion, Illinois. Clarence D Engstrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clarence D Engstrom is 1356327514. The last update date is 2021-12-06.
Clarence D Engstrom's current location address is 3115 Lewis Ave, Zion, Illinois. You can contact this provider via phone number 8477463752 and fax number 8477469144. The mailing address for Clarence D Engstrom is 3115 Lewis Ave, Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence D Engstrom |
|---|---|
| Address | 3115 Lewis Ave, Zion, Illinois |
| Phone Number | 8477463752 |
| Fax Number | 8477469144 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356327514 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 3115 Lewis Ave |
|---|---|
| City | Zion |
| State | Illinois (IL) |
| Post Code | 600993099 |
| Phone Number | 8477463752 |
| Fax Number | 8477469144 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36040526 |
|
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 |
|---|---|---|---|
| 36040526 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clarence D Engstrom by the Centers for Medicare & Medicaid Services?
The Clarence D Engstrom has been assigned the NPI (National Provider Identifier) 1356327514 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 address where Clarence D Engstrom is geographically located?
The Clarence D Engstrom is physically situated at the following location: 3115 Lewis Ave, Zion, IL, 600993099.
What is the area of specialization for Clarence D Engstrom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clarence D Engstrom is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1356327514 assigned to Clarence D Engstrom?
The Clarence D Engstrom was issued its 1356327514 on 2005-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Clarence D Engstrom most recently updated or revised?
The information pertaining to Clarence D Engstrom, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-06.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA