Keith Reynolds Warren in Winfield - Internal Medicine
Keith Reynolds Warren - NPI 1164493854
Keith Reynolds Warren is a Internal Medicine in Winfield, Illinois. Keith Reynolds Warren practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith Reynolds Warren is 1164493854. The last update date is 2015-04-15.
Keith Reynolds Warren's current location address is 25 N Winfield Rd, Winfield, Illinois. You can contact this provider via phone number 6306904993 and fax number 6306902293. The mailing address for Keith Reynolds Warren is 25 N Winfield Rd, Winfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Reynolds Warren |
|---|---|
| Address | 25 N Winfield Rd, Winfield, Illinois |
| Phone Number | 6306904993 |
| Fax Number | 6306902293 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164493854 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2015-04-15 |
Provider Mailing Address Detail
| Address | 25 N Winfield Rd |
|---|---|
| City | Winfield |
| State | Illinois (IL) |
| Post Code | 600073361 |
| Phone Number | 6306904993 |
| Fax Number | 6306902293 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 42-0010962 |
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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 |
|---|---|---|---|
| F400188615 | IL | MEDICARE PTAN (INDIVIDUAL) | |
| 206147 | IL | MEDICARE PTAN (GROUP) | |
| 36125979 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Keith Reynolds Warren by the Centers for Medicare & Medicaid Services?
The Keith Reynolds Warren has been issued the NPI (National Provider Identifier) 1164493854, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Keith Reynolds Warren is physically located?
The Keith Reynolds Warren is physically situated at the following address: 25 N Winfield Rd, Winfield, IL, 600073361.
What is the Keith Reynolds Warren's area of specialization and corresponding taxonomy classification?
The Keith Reynolds Warren'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 1164493854 to Keith Reynolds Warren?
The Centers for Medicare & Medicaid Services originally issued the 1164493854 to Keith Reynolds Warren on 2006-01-30.
As of what date were the Keith Reynolds Warren's details last updated?
The information pertaining to the Keith Reynolds Warren, including its address, specialty, and other details, was most recently updated on 2015-04-15.
NPI Number: 1215930425
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