Bryan M Kruskol in Sycamore - Obstetrics & Gynecology

Bryan M Kruskol - NPI 1497739569

Bryan M Kruskol is a Obstetrics & Gynecology in Sycamore, Illinois. Bryan M Kruskol practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Bryan M Kruskol is 1497739569. The last update date is 2013-03-07.

Bryan M Kruskol's current location address is 1675 Bethany Rd, Sycamore, Illinois. You can contact this provider via phone number 8158998080 and fax number 8158998002. The mailing address for Bryan M Kruskol is 1675 Bethany Rd, Sycamore, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan M Kruskol
Address 1675 Bethany Rd, Sycamore, Illinois
Phone Number 8158998080
Fax Number 8158998002
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1497739569
Provider Enumeration Date 2005-12-02
Last Updated Date 2013-03-07

Provider Mailing Address Detail

Address 1675 Bethany Rd
City Sycamore
State Illinois (IL)
Post Code 601783124
Phone Number 8158998080
Fax Number 8158998002

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 36102450
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1932073 IL BLUE CROSS BLUE SHIELD
36102450 IL --

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FAQs about Bryan M Kruskol

What is the unique 10-digit identification code assigned to Bryan M Kruskol by the Centers for Medicare & Medicaid Services?

The Bryan M Kruskol has been issued the NPI (National Provider Identifier) 1497739569, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bryan M Kruskol's facilities are situated?

The facilities of Bryan M Kruskol are physically located at the following address: 1675 Bethany Rd, Sycamore, IL, 601783124.

What is the area of specialization for Bryan M Kruskol, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bryan M Kruskol is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497739569 to Bryan M Kruskol?

The Bryan M Kruskol received its 1497739569 assignment from the Centers for Medicare & Medicaid Services on 2005-12-02.

As of what date were the details related to Bryan M Kruskol most recently updated or revised?

The information pertaining to Bryan M Kruskol, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-07.

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