Brian Wade Mecklenburg in Loves Park - Critical Care Medicine
Brian Wade Mecklenburg - NPI 1912047085
Brian Wade Mecklenburg is a Critical Care Medicine in Loves Park, Illinois. Brian Wade Mecklenburg practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Brian Wade Mecklenburg is 1912047085. The last update date is 2020-01-13.
Brian Wade Mecklenburg's current location address is 2202 Harlem Road, Loves Park, Illinois. You can contact this provider via phone number 8158774848 and fax number 8156543271. The mailing address for Brian Wade Mecklenburg is 2202 Harlem Road, Loves Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wade Mecklenburg |
|---|---|
| Address | 2202 Harlem Road, Loves Park, Illinois |
| Phone Number | 8158774848 |
| Fax Number | 8156543271 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912047085 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-01-13 |
Provider Mailing Address Detail
| Address | 2202 Harlem Road |
|---|---|
| City | Loves Park |
| State | Illinois (IL) |
| Post Code | 611112754 |
| Phone Number | 8158774848 |
| Fax Number | 8156543271 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Lc0200X |
| Licence No | 101102755 |
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Definition: An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36149788 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Wade Mecklenburg by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Wade Mecklenburg has been assigned the NPI (National Provider Identifier) 1912047085. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brian Wade Mecklenburg?
The Brian Wade Mecklenburg is physically situated at 2202 Harlem Road, in the city of Loves Park, state of IL, with the postal code 611112754.
What is Brian Wade Mecklenburg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Wade Mecklenburg's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Lc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912047085 to Brian Wade Mecklenburg?
The Brian Wade Mecklenburg received its 1912047085 assignment from the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details pertaining to Brian Wade Mecklenburg last refreshed?
The information related to the Brian Wade Mecklenburg, including its address, specialty, and other relevant details, was last updated on 2020-01-13.
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