Jeff T Victor is a Gastroenterology in Gurnee, Illinois. Jeff T Victor practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jeff T Victor is 1104824887. The last update date is 2021-05-07.
Jeff T Victor's current location address is Po Box 7630, Gurnee, Illinois. You can contact this provider via phone number 6302087388 and fax number 6302084818. The mailing address for Jeff T Victor is Po Box 7630, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff T Victor |
|---|---|
| Address | Po Box 7630, Gurnee, Illinois |
| Phone Number | 6302087388 |
| Fax Number | 6302084818 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1104824887 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2021-05-07 |
Provider Mailing Address Detail
| Address | Po Box 7630 |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600317002 |
| Phone Number | 6302087388 |
| Fax Number | 6302084818 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 36102795 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203529 | IL | MEDICARE GROUP | |
| 36102795 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeff T Victor?
The Jeff T Victor has been issued the NPI (National Provider Identifier) 1104824887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeff T Victor's facilities are situated?
The facilities of Jeff T Victor are physically located at the following address: Po Box 7630, Gurnee, IL, 600317002.
What is Jeff T Victor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeff T Victor is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
When did the Jeff T Victor receive its 1104824887?
The Jeff T Victor was issued its 1104824887 on 2005-07-07, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jeff T Victor most recently updated or revised?
The details related to Jeff T Victor, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-07.