Robert C Prentice in Palos Park - Interventional Cardiology
Robert C Prentice - NPI 1194789354
Robert C Prentice is a Interventional Cardiology in Palos Park, Illinois. Robert C Prentice practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Robert C Prentice is 1194789354. The last update date is 2021-12-15.
Robert C Prentice's current location address is 13011 S 104th Ave Ste 100, Palos Park, Illinois. You can contact this provider via phone number 7084783600 and fax number 7084783552. The mailing address for Robert C Prentice is 13011 S 104th Ave Ste 100, Palos Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert C Prentice |
|---|---|
| Address | 13011 S 104th Ave Ste 100, Palos Park, Illinois |
| Phone Number | 7084783600 |
| Fax Number | 7084783552 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1194789354 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 13011 S 104th Ave Ste 100 |
|---|---|
| City | Palos Park |
| State | Illinois (IL) |
| Post Code | 604641508 |
| Phone Number | 7084783600 |
| Fax Number | 7084783552 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | 36067066 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36067066 | IL | -- | |
| 236551 | IL | MEDICARE GROUP | |
| 236550 | IL | MEDICARE GROUP | |
| 1621208 | IL | BLUE CROSS BLUE SHIELD | |
| 1508810086 | IL | GROUP NPI | |
| 60042297 | IL | RAILROAD MEDICARE COOK | |
| 60056572 | IL | RAILROAD MEDICARE WILL | |
| CD8033 | IL | RAILROAD MEDICARE GROUP PTAN N | |
| CN2703 | IL | RAILROAD MEDICARE GROUP PTAN N |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert C Prentice?
The Robert C Prentice has been issued the NPI (National Provider Identifier) 1194789354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Robert C Prentice?
The Robert C Prentice is situated at 13011 S 104Th Ave Ste 100, in the city of Palos Park, state of IL, with the zip code 604641508.
What is Robert C Prentice's area of expertise and its corresponding taxonomy classification?
The Robert C Prentice's field of specialization is Interventional Cardiology, and it falls under the taxonomy code 207Ri0011X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1194789354 to Robert C Prentice?
The Centers for Medicare & Medicaid Services assigned the 1194789354 to Robert C Prentice on 2006-04-14.
As of what date was the information regarding Robert C Prentice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert C Prentice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-15.