Scott W Divenere in Joliet - Otolaryngology
Scott W Divenere - NPI 1881677714
Scott W Divenere is a Otolaryngology in Joliet, Illinois. Scott W Divenere practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Scott W Divenere is 1881677714. The last update date is 2007-11-07.
Scott W Divenere's current location address is 2201 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8157251191 and fax number 8157252048. The mailing address for Scott W Divenere is 2201 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott W Divenere |
|---|---|
| Address | 2201 Glenwood Ave, Joliet, Illinois |
| Phone Number | 8157251191 |
| Fax Number | 8157252048 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881677714 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 2201 Glenwood Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604355574 |
| Phone Number | 8157251191 |
| Fax Number | 8157252048 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH4890 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Scott W Divenere by the Centers for Medicare & Medicaid Services?
The Scott W Divenere has been issued the NPI (National Provider Identifier) 1881677714. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Scott W Divenere?
The Scott W Divenere is situated at 2201 Glenwood Ave, in the city of Joliet, state of IL, with the zip code 604355574.
What is Scott W Divenere's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott W Divenere is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
On what date did the Scott W Divenere receive its 1881677714 assignment from the Centers for Medicare & Medicaid Services?
The Scott W Divenere was assigned its 1881677714 by the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date were the details pertaining to Scott W Divenere last refreshed?
The information related to the Scott W Divenere, including its address, specialty, and other relevant details, was last updated on 2007-11-07.
NPI Number: 1912900614
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