Brett Joseph Vassallo in Park Ridge - Gynecology
Brett Joseph Vassallo - NPI 1386654408
Brett Joseph Vassallo is a Gynecology in Park Ridge, Illinois. Brett Joseph Vassallo practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Brett Joseph Vassallo is 1386654408. The last update date is 2018-08-08.
Brett Joseph Vassallo's current location address is 1875 Dempster St Ste 665, Park Ridge, Illinois. You can contact this provider via phone number 8478251590 and fax number 8478251604. The mailing address for Brett Joseph Vassallo is 1875 Dempster St Ste 665, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Joseph Vassallo |
|---|---|
| Address | 1875 Dempster St Ste 665, Park Ridge, Illinois |
| Phone Number | 8478251590 |
| Fax Number | 8478251604 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386654408 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
| Address | 1875 Dempster St Ste 665 |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600681168 |
| Phone Number | 8478251590 |
| Fax Number | 8478251604 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 36097455 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36097455 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brett Joseph Vassallo by the Centers for Medicare & Medicaid Services?
The Brett Joseph Vassallo has been assigned the NPI (National Provider Identifier) 1386654408. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brett Joseph Vassallo's physical address?
The Brett Joseph Vassallo is physically located at 1875 Dempster St Ste 665, in the city of Park Ridge, IL, with the postal code 600681168.
What is Brett Joseph Vassallo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brett Joseph Vassallo is Gynecology, and the taxonomy code that classifies this field of practice is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386654408 to Brett Joseph Vassallo?
The Centers for Medicare & Medicaid Services assigned the 1386654408 to Brett Joseph Vassallo on 2006-08-09.
When was the Brett Joseph Vassallo's information last updated?
The Brett Joseph Vassallo's information was last updated on 2018-08-08.
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