Murphysboro Internal Medicine Clinic in Murphysboro - Geriatric Medicine
Murphysboro Internal Medicine Clinic - NPI 1114114345
Murphysboro Internal Medicine Clinic is a Geriatric Medicine in Murphysboro, Illinois. Murphysboro Internal Medicine Clinic practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Murphysboro Internal Medicine Clinic is 1114114345. The last update date is 2008-09-19.
Murphysboro Internal Medicine Clinic's current location address is 1032 N 6th St, Murphysboro, Illinois. You can contact this provider via phone number 6186846408 and fax number 6186843637. The mailing address for Murphysboro Internal Medicine Clinic is 1032 N 6th St, Murphysboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Murphysboro Internal Medicine Clinic |
|---|---|
| Address | 1032 N 6th St, Murphysboro, Illinois |
| Phone Number | 6186846408 |
| Fax Number | 6186843637 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trinh T Chante |
| Credentials | M.D. |
| Telephone Number | 6186846408 |
NPI Number Detail
| NPI Number | 1114114345 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2008-09-19 |
Provider Mailing Address Detail
| Address | 1032 N 6th St |
|---|---|
| City | Murphysboro |
| State | Illinois (IL) |
| Post Code | 629662267 |
| Phone Number | 6186846408 |
| Fax Number | 6186843637 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 36110916 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3932025 | IL | BC BS IL | |
| 36110916 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Murphysboro Internal Medicine Clinic by the Centers for Medicare & Medicaid Services?
The Murphysboro Internal Medicine Clinic has been issued the NPI (National Provider Identifier) 1114114345 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Murphysboro Internal Medicine Clinic's facilities are situated?
The facilities of Murphysboro Internal Medicine Clinic are physically located at the following address: 1032 N 6Th St, Murphysboro, IL, 629662267.
What is the Murphysboro Internal Medicine Clinic's specialty and taxonomy code?
The Murphysboro Internal Medicine Clinic's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
On what date did the Murphysboro Internal Medicine Clinic receive its 1114114345 assignment from the Centers for Medicare & Medicaid Services?
The Murphysboro Internal Medicine Clinic was assigned its 1114114345 by the Centers for Medicare & Medicaid Services on 2007-10-02.
As of what date were the Murphysboro Internal Medicine Clinic's details last updated?
The information pertaining to the Murphysboro Internal Medicine Clinic, including its address, specialty, and other details, was most recently updated on 2008-09-19.
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