Carl Vancol is a Adolescent Medicine in Chicago, Illinois. Carl Vancol practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Carl Vancol is 1245222454. The last update date is 2007-07-08.
Carl Vancol's current location address is 45 W 111th St, Chicago, Illinois. You can contact this provider via phone number 7739953463. The mailing address for Carl Vancol is 45 W 111th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Vancol |
|---|---|
| Address | 45 W 111th St, Chicago, Illinois |
| Phone Number | 7739953463 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245222454 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 45 W 111th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606284200 |
| Phone Number | 7739953463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 36098516 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36098516 | IL | -- | |
| 1625687 | IL | BCBS ILLINOIS | |
| 1633398 | IL | BLUE CROSS BLUE SHIELD | |
| 80193944 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Carl Vancol by the Centers for Medicare & Medicaid Services?
The Carl Vancol has been assigned the NPI (National Provider Identifier) 1245222454. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carl Vancol is physically located?
The Carl Vancol is physically situated at the following address: 45 W 111Th St, Chicago, IL, 606284200.
What is the Carl Vancol's area of specialization and corresponding taxonomy classification?
The Carl Vancol's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their specialties.
When was the Carl Vancol's 1245222454 issued?
The Carl Vancol's 1245222454 was issued on 2005-08-16.
When was the information regarding Carl Vancol, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carl Vancol, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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