Mark S Travis is a Geriatric Medicine in Chicago, Illinois. Mark S Travis practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark S Travis is 1083690093. The last update date is 2007-08-01.
Mark S Travis's current location address is 1229 N North Branch St, Chicago, Illinois. You can contact this provider via phone number 3129395090 and fax number 3126404496. The mailing address for Mark S Travis is 1229 N North Branch St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Travis |
|---|---|
| Address | 1229 N North Branch St, Chicago, Illinois |
| Phone Number | 3129395090 |
| Fax Number | 3126404496 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083690093 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 1229 N North Branch St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606222473 |
| Phone Number | 3129395090 |
| Fax Number | 3126404496 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01061315A | IN | LICENSE NUMBER | |
| 383791 | IN | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark S Travis by the Centers for Medicare & Medicaid Services?
The Mark S Travis has been issued the NPI (National Provider Identifier) 1083690093 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark S Travis is located?
The Mark S Travis is situated at the following address: 1229 N North Branch St, Chicago, IL, 606222473.
What is Mark S Travis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark S Travis's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.
On what date did the Mark S Travis receive the assignment of its 1083690093 from the Centers for Medicare & Medicaid Services?
The Mark S Travis was issued its 1083690093 by the Centers for Medicare & Medicaid Services on 2005-12-21.
As of what date were the Mark S Travis's details last updated?
The information pertaining to the Mark S Travis, including its address, specialty, and other details, was most recently updated on 2007-08-01.