Benedicta Umoru in Fairview Heights - Internal Medicine

Benedicta Umoru - NPI 1003836446

Benedicta Umoru is a Internal Medicine in Fairview Heights, Illinois. Benedicta Umoru practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Benedicta Umoru is 1003836446. The last update date is 2016-05-13.

Benedicta Umoru's current location address is 5032 N Illinois St, Fairview Heights, Illinois. You can contact this provider via phone number 6184169005 and fax number 6186419452. The mailing address for Benedicta Umoru is 5032 N Illinois St, Fairview Heights, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Benedicta Umoru
Address 5032 N Illinois St, Fairview Heights, Illinois
Phone Number 6184169005
Fax Number 6186419452
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1003836446
Provider Enumeration Date 2006-07-20
Last Updated Date 2016-05-13

Provider Mailing Address Detail

Address 5032 N Illinois St
City Fairview Heights
State Illinois (IL)
Post Code 622083415
Phone Number 6184169005
Fax Number 6186419452

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36100162
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36100162 IL --
P00248272 RR MEDICARE
8232145 BCBS IL

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FAQs about Benedicta Umoru

What is the Benedicta Umoru's unique identification number?

The Benedicta Umoru has been assigned the NPI (National Provider Identifier) Number 1003836446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Benedicta Umoru?

The Benedicta Umoru is physically situated at 5032 N Illinois St, in the city of Fairview Heights, state of IL, with the postal code 622083415.

What is the area of specialization for Benedicta Umoru, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Benedicta Umoru is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003836446 to Benedicta Umoru?

The Centers for Medicare & Medicaid Services originally issued the 1003836446 to Benedicta Umoru on 2006-07-20.

As of what date were the Benedicta Umoru's details last updated?

The information pertaining to the Benedicta Umoru, including its address, specialty, and other details, was most recently updated on 2016-05-13.

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