Jack R Chamberlin in Woodridge - Interventional Cardiology
Jack R Chamberlin - NPI 1215980321
Jack R Chamberlin is a Interventional Cardiology in Woodridge, Illinois. Jack R Chamberlin practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Jack R Chamberlin is 1215980321. The last update date is 2015-04-10.
Jack R Chamberlin's current location address is 900 S Frontage Rd, Woodridge, Illinois. You can contact this provider via phone number 8479813680 and fax number 8479565122. The mailing address for Jack R Chamberlin is 900 S Frontage Rd, Woodridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R Chamberlin |
|---|---|
| Address | 900 S Frontage Rd, Woodridge, Illinois |
| Phone Number | 8479813680 |
| Fax Number | 8479565122 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215980321 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
| Address | 900 S Frontage Rd |
|---|---|
| City | Woodridge |
| State | Illinois (IL) |
| Post Code | 605174903 |
| Phone Number | 8479813680 |
| Fax Number | 8479565122 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | 036-086925 |
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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 |
|---|---|---|---|
| IL6305015 | IL | MEDICARE PTAN LOC 15 | |
| 1720371669 | IL | NPI GROUP PRACTICE | |
| IL6304015 | IL | MEDICARE PTAN LOC 16 | |
| P01008734 | IL | RRMC PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Jack R Chamberlin by the Centers for Medicare & Medicaid Services (CMS)?
The Jack R Chamberlin has been assigned the NPI (National Provider Identifier) 1215980321. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jack R Chamberlin's facilities are geographically located?
The facilities of Jack R Chamberlin are physically situated at the following location: 900 S Frontage Rd, Woodridge, IL, 605174903.
What is the Jack R Chamberlin's area of specialization and corresponding taxonomy classification?
The Jack R Chamberlin's specialty field is Interventional Cardiology, and it falls under the taxonomy code 207Ri0011X, which categorizes healthcare providers based on their specialties.
On what date did Jack R Chamberlin receive its 1215980321 assignment from the Centers for Medicare & Medicaid Services?
The Jack R Chamberlin was assigned its 1215980321 on 2006-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jack R Chamberlin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack R Chamberlin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-10.