Daniel P Vicencio in Chicago - Internal Medicine
Daniel P Vicencio - NPI 1174508246
Daniel P Vicencio is a Internal Medicine in Chicago, Illinois. Daniel P Vicencio practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Daniel P Vicencio is 1174508246. The last update date is 2021-05-06.
Daniel P Vicencio's current location address is 2525 S Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3125676691 and fax number 3123287702. The mailing address for Daniel P Vicencio is 2525 S Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel P Vicencio |
|---|---|
| Address | 2525 S Michigan Ave, Chicago, Illinois |
| Phone Number | 3125676691 |
| Fax Number | 3123287702 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174508246 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 2525 S Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606162333 |
| Phone Number | 3125676691 |
| Fax Number | 3123287702 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36088743 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1621679 | IL | BCBS OF IL | |
| 36088743 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Daniel P Vicencio by the Centers for Medicare & Medicaid Services?
The Daniel P Vicencio has been issued the NPI (National Provider Identifier) 1174508246 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Daniel P Vicencio is physically located?
The Daniel P Vicencio is physically situated at the following address: 2525 S Michigan Ave, Chicago, IL, 606162333.
What is Daniel P Vicencio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daniel P Vicencio's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174508246 to Daniel P Vicencio?
The Centers for Medicare & Medicaid Services originally issued the 1174508246 to Daniel P Vicencio on 2005-12-13.
As of what date were the details related to Daniel P Vicencio most recently updated or revised?
The information pertaining to Daniel P Vicencio, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-06.
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