Ellen Fertelmeister in Skokie - Internal Medicine

Ellen Fertelmeister - NPI 1740343193

Ellen Fertelmeister is a Internal Medicine in Skokie, Illinois. Ellen Fertelmeister practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ellen Fertelmeister is 1740343193. The last update date is 2007-07-08.

Ellen Fertelmeister's current location address is 8170 Mc Cormick Blvd, Skokie, Illinois. You can contact this provider via phone number 8474102029 and fax number 8474102041. The mailing address for Ellen Fertelmeister is 8170 Mc Cormick Blvd, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Fertelmeister
Address 8170 Mc Cormick Blvd, Skokie, Illinois
Phone Number 8474102029
Fax Number 8474102041
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1740343193
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8170 Mc Cormick Blvd
City Skokie
State Illinois (IL)
Post Code 600762920
Phone Number 8474102029
Fax Number 8474102041

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 036-071978
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
036-071978 IL MEDICAL LICENSE

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FAQs about Ellen Fertelmeister

What is the unique provider identifier assigned to Ellen Fertelmeister?

The Ellen Fertelmeister has been issued the NPI (National Provider Identifier) 1740343193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Ellen Fertelmeister located?

The Ellen Fertelmeister is located at 8170 Mc Cormick Blvd, Skokie, IL 600762920.

What is the Ellen Fertelmeister's area of specialization and corresponding taxonomy classification?

The Ellen Fertelmeister's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740343193 to Ellen Fertelmeister?

The Centers for Medicare & Medicaid Services originally issued the 1740343193 to Ellen Fertelmeister on 2006-12-18.

As of what date were the details related to Ellen Fertelmeister most recently updated or revised?

The information pertaining to Ellen Fertelmeister, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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