Medical Group Of Macomb, Llc in Macomb - Internal Medicine
Medical Group Of Macomb, Llc - NPI 1356430664
Medical Group Of Macomb, Llc is a Internal Medicine in Macomb, Illinois. Medical Group Of Macomb, Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Medical Group Of Macomb, Llc is 1356430664. The last update date is 2022-07-21.
Medical Group Of Macomb, Llc's current location address is Po Box 556, Macomb, Illinois. You can contact this provider via phone number 3098333536 and fax number 3098365729. The mailing address for Medical Group Of Macomb, Llc is Po Box 556, Macomb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Group Of Macomb, Llc |
|---|---|
| Address | Po Box 556, Macomb, Illinois |
| Phone Number | 3098333536 |
| Fax Number | 3098365729 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miller David |
| Credentials | D.O. |
| Telephone Number | 3098333536 |
NPI Number Detail
| NPI Number | 1356430664 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 556 |
|---|---|
| City | Macomb |
| State | Illinois (IL) |
| Post Code | 614550556 |
| Phone Number | 3098333536 |
| Fax Number | 3098365729 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
|---|---|---|---|
| 110247080 | IL | RAILROAD MEDICARE | |
| 5532005 | IL | BLUE CROSS/BLUE SHIELD IL | |
| DG6820 | IL | RAILROAD MEDICARE | |
| 36104354 | IL | -- | |
| 36111319 | IL | -- | |
| 67033 | IL | HEALTH ALLIANCE | |
| 95260 | IL | HEALTH ALLIANCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Medical Group Of Macomb, Llc by the Centers for Medicare & Medicaid Services?
The Medical Group Of Macomb, Llc has been assigned the NPI (National Provider Identifier) 1356430664 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Medical Group Of Macomb, Llc's physical address?
The Medical Group Of Macomb, Llc is physically located at Po Box 556, in the city of Macomb, IL, with the postal code 614550556.
What is Medical Group Of Macomb, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Medical Group Of Macomb, Llc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did Medical Group Of Macomb, Llc receive its 1356430664 assignment from the Centers for Medicare & Medicaid Services?
The Medical Group Of Macomb, Llc was assigned its 1356430664 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Medical Group Of Macomb, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Medical Group Of Macomb, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.