Theodore Eller in Rockford - Neurological Surgery

Theodore Eller - NPI 1487690533

Theodore Eller is a Neurological Surgery in Rockford, Illinois. Theodore Eller practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Theodore Eller is 1487690533. The last update date is 2010-01-26.

Theodore Eller's current location address is 2350 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159717600. The mailing address for Theodore Eller is 2350 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Eller
Address 2350 N Rockton Ave, Rockford, Illinois
Phone Number 8159717600
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487690533
Provider Enumeration Date 2006-06-20
Last Updated Date 2010-01-26

Provider Mailing Address Detail

Address 2350 N Rockton Ave
City Rockford
State Illinois (IL)
Post Code 611033600
Phone Number 8159717600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No 36058013
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36058013 IL STATE LICENSE

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FAQs about Theodore Eller

What is the unique identification code assigned to Theodore Eller by the Centers for Medicare & Medicaid Services?

The Theodore Eller has been issued the NPI (National Provider Identifier) 1487690533. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Theodore Eller is physically located?

The Theodore Eller is physically situated at the following address: 2350 N Rockton Ave, Rockford, IL, 611033600.

What is Theodore Eller's area of expertise and its corresponding taxonomy classification?

The Theodore Eller's field of specialization is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Theodore Eller receive the assignment of its 1487690533 from the Centers for Medicare & Medicaid Services?

The Theodore Eller was issued its 1487690533 by the Centers for Medicare & Medicaid Services on 2006-06-20.

As of what date were the details related to Theodore Eller most recently updated or revised?

The information pertaining to Theodore Eller, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-26.

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