Stephanie R Black in Park Ridge - Internal Medicine
Stephanie R Black - NPI 1316908791
Stephanie R Black is a Internal Medicine in Park Ridge, Illinois. Stephanie R Black practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stephanie R Black is 1316908791. The last update date is 2021-04-21.
Stephanie R Black's current location address is Po Box 239d, Park Ridge, Illinois. You can contact this provider via phone number 8477591560 and fax number 8478031006. The mailing address for Stephanie R Black is Po Box 239d, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie R Black |
|---|---|
| Address | Po Box 239d, Park Ridge, Illinois |
| Phone Number | 8477591560 |
| Fax Number | 8478031006 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316908791 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | Po Box 239d |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600688018 |
| Phone Number | 8477591560 |
| Fax Number | 8478031006 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-097246 |
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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 |
|---|---|---|---|
| 440003692 | IL | RR MEDICARE | |
| 36097246 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephanie R Black?
The Stephanie R Black has been issued the NPI (National Provider Identifier) 1316908791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Stephanie R Black is physically located?
The Stephanie R Black is physically situated at the following address: Po Box 239D, Park Ridge, IL, 600688018.
What is the area of specialization for Stephanie R Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephanie R Black is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When did the Stephanie R Black receive its 1316908791?
The Stephanie R Black was issued its 1316908791 on 2006-03-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Stephanie R Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephanie R Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-21.