Jasper A Petrucci in Geneva - Orthopaedic Surgery

Jasper A Petrucci - NPI 1659342343

Jasper A Petrucci is a Orthopaedic Surgery in Geneva, Illinois. Jasper A Petrucci practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jasper A Petrucci is 1659342343. The last update date is 2021-12-28.

Jasper A Petrucci's current location address is 2525 Kaneville Rd, Geneva, Illinois. You can contact this provider via phone number 6305841400 and fax number 6305841733. The mailing address for Jasper A Petrucci is 2525 Kaneville Rd, Geneva, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jasper A Petrucci
Address 2525 Kaneville Rd, Geneva, Illinois
Phone Number 6305841400
Fax Number 6305841733
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659342343
Provider Enumeration Date 2006-01-30
Last Updated Date 2021-12-28

Provider Mailing Address Detail

Address 2525 Kaneville Rd
City Geneva
State Illinois (IL)
Post Code 601342578
Phone Number 6305841400
Fax Number 6305841733

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 036-109437
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36109437 IL --
P00185930 RAILROAD MEDICARE
CF2064 IL RAILROAD GROUP

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FAQs about Jasper A Petrucci

What is the Jasper A Petrucci's unique identification number?

The Jasper A Petrucci has been assigned the NPI (National Provider Identifier) Number 1659342343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jasper A Petrucci is geographically located?

The Jasper A Petrucci is physically situated at the following location: 2525 Kaneville Rd, Geneva, IL, 601342578.

What is the Jasper A Petrucci's specialty and taxonomy code?

The Jasper A Petrucci's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.

On what date did the Jasper A Petrucci receive the assignment of its 1659342343 from the Centers for Medicare & Medicaid Services?

The Jasper A Petrucci was issued its 1659342343 by the Centers for Medicare & Medicaid Services on 2006-01-30.

When was the Jasper A Petrucci's information last updated?

The Jasper A Petrucci's information was last updated on 2021-12-28.

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