Steven O Ikenberry in Rockford - Gastroenterology

Steven O Ikenberry - NPI 1336135540

Steven O Ikenberry is a Gastroenterology in Rockford, Illinois. Steven O Ikenberry practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Steven O Ikenberry is 1336135540. The last update date is 2010-12-22.

Steven O Ikenberry's current location address is 401 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153977340 and fax number 8153977388. The mailing address for Steven O Ikenberry is 401 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven O Ikenberry
Address 401 Roxbury Rd, Rockford, Illinois
Phone Number 8153977340
Fax Number 8153977388
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1336135540
Provider Enumeration Date 2005-09-22
Last Updated Date 2010-12-22

Provider Mailing Address Detail

Address 401 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 611075075
Phone Number 8153977340
Fax Number 8153977388

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 36093860
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36093860 IL --

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FAQs about Steven O Ikenberry

What is the unique 10-digit identifier code issued to Steven O Ikenberry by the Centers for Medicare & Medicaid Services?

The Steven O Ikenberry has been assigned the NPI (National Provider Identifier) 1336135540 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Steven O Ikenberry?

The Steven O Ikenberry is situated at 401 Roxbury Rd, in the city of Rockford, state of IL, with the zip code 611075075.

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

The Steven O Ikenberry's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336135540 to Steven O Ikenberry?

The Centers for Medicare & Medicaid Services originally issued the 1336135540 to Steven O Ikenberry on 2005-09-22.

As of what date was the information regarding Steven O Ikenberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Steven O Ikenberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-22.

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