Macomb Internal Medicine Ltd in Macomb - Internal Medicine

Macomb Internal Medicine Ltd - NPI 1154305852

Macomb Internal Medicine Ltd is a Internal Medicine in Macomb, Illinois. Macomb Internal Medicine Ltd practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Macomb Internal Medicine Ltd is 1154305852. The last update date is 2008-01-30.

Macomb Internal Medicine Ltd's current location address is 515 E Grant St, Macomb, Illinois. You can contact this provider via phone number 3098379926 and fax number 3098331417. The mailing address for Macomb Internal Medicine Ltd is 515 E Grant St, Macomb, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Macomb Internal Medicine Ltd
Address 515 E Grant St, Macomb, Illinois
Phone Number 3098379926
Fax Number 3098331417
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD/PRESIDE
Authorized Official Name Reem W David
Credentials MD
Telephone Number 3098379926

NPI Number Detail

NPI Number 1154305852
Provider Enumeration Date 2005-12-06
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 515 E Grant St
City Macomb
State Illinois (IL)
Post Code 614553315
Phone Number 3098379926
Fax Number 3098331417

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
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
5532012 IL BCBS OF ILLINOIS

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FAQs about Macomb Internal Medicine Ltd

What is the unique 10-digit identifier code assigned to Macomb Internal Medicine Ltd by the Centers for Medicare & Medicaid Services?

The Macomb Internal Medicine Ltd has been issued the NPI (National Provider Identifier) 1154305852 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Macomb Internal Medicine Ltd?

The Macomb Internal Medicine Ltd is situated at 515 E Grant St, in the city of Macomb, state of IL, with the zip code 614553315.

What is Macomb Internal Medicine Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?

The Macomb Internal Medicine Ltd'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 Macomb Internal Medicine Ltd receive its 1154305852 assignment from the Centers for Medicare & Medicaid Services?

The Macomb Internal Medicine Ltd was assigned its 1154305852 by the Centers for Medicare & Medicaid Services on 2005-12-06.

As of what date was the information regarding Macomb Internal Medicine Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Macomb Internal Medicine Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-30.

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