Joanne Marie Ilustre in Ridley Park - Cardiovascular Disease
Joanne Marie Ilustre - NPI 1750545661
Joanne Marie Ilustre is a Cardiovascular Disease in Ridley Park, Pennsylvania. Joanne Marie Ilustre practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Joanne Marie Ilustre is 1750545661. The last update date is 2021-01-06.
Joanne Marie Ilustre's current location address is 1 Bartol Ave Ste 10, Ridley Park, Pennsylvania. You can contact this provider via phone number 6105210150 and fax number 6105216493. The mailing address for Joanne Marie Ilustre is 1 Bartol Ave Ste 10, Ridley Park, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne Marie Ilustre |
|---|---|
| Address | 1 Bartol Ave Ste 10, Ridley Park, Pennsylvania |
| Phone Number | 6105210150 |
| Fax Number | 6105216493 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750545661 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2021-01-06 |
Provider Mailing Address Detail
| Address | 1 Bartol Ave Ste 10 |
|---|---|
| City | Ridley Park |
| State | Pennsylvania (PA) |
| Post Code | 190782214 |
| Phone Number | 6105210150 |
| Fax Number | 6105216493 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | C20011444 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1035757110003 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Joanne Marie Ilustre by the Centers for Medicare & Medicaid Services?
The Joanne Marie Ilustre has been assigned the NPI (National Provider Identifier) 1750545661. 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 physical location address of Joanne Marie Ilustre?
The Joanne Marie Ilustre is physically situated at 1 Bartol Ave Ste 10, in the city of Ridley Park, state of PA, with the postal code 190782214.
What is Joanne Marie Ilustre's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joanne Marie Ilustre's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
When did Joanne Marie Ilustre receive its 1750545661 assignment?
The Joanne Marie Ilustre was assigned its 1750545661 on 2008-07-10, which is the date when this unique identifier was issued to the organization.
When was the information related to Joanne Marie Ilustre most recently updated or refreshed?
The details pertaining to the Joanne Marie Ilustre, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-06.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA