Trv - Family Medicine, Ltd. in Chicago - Adolescent Medicine

Trv - Family Medicine, Ltd. - NPI 1992811178

Trv - Family Medicine, Ltd. is a Adolescent Medicine in Chicago, Illinois. Trv - Family Medicine, Ltd. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Trv - Family Medicine, Ltd. is 1992811178. The last update date is 2010-02-19.

Trv - Family Medicine, Ltd.'s current location address is 2740 W Foster Ave, Chicago, Illinois. You can contact this provider via phone number 7735062000 and fax number 7735062668. The mailing address for Trv - Family Medicine, Ltd. is 2740 W Foster Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Trv - Family Medicine, Ltd.
Address 2740 W Foster Ave, Chicago, Illinois
Phone Number 7735062000
Fax Number 7735062668
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vancauwelaert R. Tony
Credentials M.D.
Telephone Number 7735062000

NPI Number Detail

NPI Number 1992811178
Provider Enumeration Date 2006-08-21
Last Updated Date 2010-02-19

Provider Mailing Address Detail

Address 2740 W Foster Ave
City Chicago
State Illinois (IL)
Post Code 606253500
Phone Number 7735062000
Fax Number 7735062668

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 36092385
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
36092385 IL --

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FAQs about Trv - Family Medicine, Ltd.

What is the Trv - Family Medicine, Ltd.'s unique identification number?

The Trv - Family Medicine, Ltd. has been assigned the NPI (National Provider Identifier) Number 1992811178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Trv - Family Medicine, Ltd.?

The Trv - Family Medicine, Ltd. is situated at 2740 W Foster Ave, in the city of Chicago, state of IL, with the zip code 606253500.

What is Trv - Family Medicine, Ltd.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Trv - Family Medicine, Ltd. is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992811178 to Trv - Family Medicine, Ltd.?

The Centers for Medicare & Medicaid Services originally issued the 1992811178 to Trv - Family Medicine, Ltd. on 2006-08-21.

When was the information related to Trv - Family Medicine, Ltd. most recently updated or refreshed?

The details pertaining to the Trv - Family Medicine, Ltd., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-02-19.

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