Serge N Debustros in Orland Park - Retina Specialist
Serge N Debustros - NPI 1962402685
Serge N Debustros is a Retina Specialist in Orland Park, Illinois. Serge N Debustros practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Serge N Debustros is 1962402685. The last update date is 2022-02-04.
Serge N Debustros's current location address is 11516 183rd Pl Ste Sw, Orland Park, Illinois. You can contact this provider via phone number 7088771300 and fax number 7085968719. The mailing address for Serge N Debustros is 11516 183rd Pl Ste Sw, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serge N Debustros |
|---|---|
| Address | 11516 183rd Pl Ste Sw, Orland Park, Illinois |
| Phone Number | 7088771300 |
| Fax Number | 7085968719 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962402685 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
| Address | 11516 183rd Pl Ste Sw |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604679471 |
| Phone Number | 7088771300 |
| Fax Number | 7085968719 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 01038973A |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36081438 | IL | -- | |
| 180015436 | IL | RRMC | |
| 180012658 | IN | RRMC |
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What is the unique 10-digit identification code assigned to Serge N Debustros by the Centers for Medicare & Medicaid Services?
The Serge N Debustros has been issued the NPI (National Provider Identifier) 1962402685, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Serge N Debustros's area of specialization and corresponding taxonomy classification?
The Serge N Debustros's specialty field is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their specialties.
What is Serge N Debustros's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Serge N Debustros is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
When did the Serge N Debustros receive its 1962402685?
The Serge N Debustros was issued its 1962402685 on 2005-07-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Serge N Debustros's details last updated?
The information pertaining to the Serge N Debustros, including its address, specialty, and other details, was most recently updated on 2022-02-04.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL