Patrick Zimmermann in Collinsville - Adolescent Medicine

Patrick Zimmermann - NPI 1194749218

Patrick Zimmermann is a Adolescent Medicine in Collinsville, Illinois. Patrick Zimmermann practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Patrick Zimmermann is 1194749218. The last update date is 2021-11-11.

Patrick Zimmermann's current location address is 531 Vandalia St, Collinsville, Illinois. You can contact this provider via phone number 6183440090 and fax number 6183444371. The mailing address for Patrick Zimmermann is 531 Vandalia St, Collinsville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Zimmermann
Address 531 Vandalia St, Collinsville, Illinois
Phone Number 6183440090
Fax Number 6183444371
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1194749218
Provider Enumeration Date 2006-07-26
Last Updated Date 2021-11-11

Provider Mailing Address Detail

Address 531 Vandalia St
City Collinsville
State Illinois (IL)
Post Code 622344061
Phone Number 6183440090
Fax Number 6183444371

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 36059275
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
36059275 IL --

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FAQs about Patrick Zimmermann

What is the unique 10-digit identification code issued to Patrick Zimmermann by the Centers for Medicare & Medicaid Services?

The Patrick Zimmermann has been assigned the NPI (National Provider Identifier) 1194749218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Patrick Zimmermann's facilities are geographically located?

The facilities of Patrick Zimmermann are physically situated at the following location: 531 Vandalia St, Collinsville, IL, 622344061.

What is Patrick Zimmermann's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patrick Zimmermann's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.

On what date was the 1194749218 assigned to Patrick Zimmermann?

The Patrick Zimmermann was issued its 1194749218 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Patrick Zimmermann, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patrick Zimmermann, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-11.

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