Ellen J Gustafson in Joliet - Hematology & Oncology
Ellen J Gustafson - NPI 1245296896
Ellen J Gustafson is a Hematology & Oncology in Joliet, Illinois. Ellen J Gustafson practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Ellen J Gustafson is 1245296896. The last update date is 2022-06-17.
Ellen J Gustafson's current location address is 2614 W Jefferson St, Joliet, Illinois. You can contact this provider via phone number 8157251355 and fax number 8157259857. The mailing address for Ellen J Gustafson is 2614 W Jefferson St, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen J Gustafson |
|---|---|
| Address | 2614 W Jefferson St, Joliet, Illinois |
| Phone Number | 8157251355 |
| Fax Number | 8157259857 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245296896 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2022-06-17 |
Provider Mailing Address Detail
| Address | 2614 W Jefferson St |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 60435 |
| Phone Number | 8157251355 |
| Fax Number | 8157259857 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 36109139 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00307129 | IL | MEDICARE RR | |
| K26698 | IL | MEDICARE INDIV ID# FOR GROUP 2 | |
| K26699 | IL | MEDICARE INDIV ID# FOR GROUP 3 | |
| 36109139 | IL | -- | |
| K26697 | IL | MEDICARE INDIV ID# FOR GROUP 2 |
Post Comment/ Review Below
What is the Ellen J Gustafson's 1245296896?
The Ellen J Gustafson's NPI (National Provider Identifier) Number is 1245296896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ellen J Gustafson is physically located?
The Ellen J Gustafson is physically situated at the following address: 2614 W Jefferson St, Joliet, IL, 60435.
What is the Ellen J Gustafson's area of specialization and corresponding taxonomy classification?
The Ellen J Gustafson's specialty field is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their specialties.
When did the Ellen J Gustafson receive its 1245296896?
The Ellen J Gustafson was issued its 1245296896 on 2006-04-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Ellen J Gustafson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ellen J Gustafson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-17.