Richard Paul Driessnack in Peoria - Adult Reconstructive Orthopaedic Surgery
Richard Paul Driessnack - NPI 1679573901
Richard Paul Driessnack is a Adult Reconstructive Orthopaedic Surgery in Peoria, Illinois. Richard Paul Driessnack practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Richard Paul Driessnack is 1679573901. The last update date is 2010-11-02.
Richard Paul Driessnack's current location address is 303 N William Kumpf Blvd, Peoria, Illinois. You can contact this provider via phone number 3096765546 and fax number 3096765045. The mailing address for Richard Paul Driessnack is 303 N William Kumpf Blvd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Paul Driessnack |
|---|---|
| Address | 303 N William Kumpf Blvd, Peoria, Illinois |
| Phone Number | 3096765546 |
| Fax Number | 3096765045 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679573901 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2010-11-02 |
Provider Mailing Address Detail
| Address | 303 N William Kumpf Blvd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616052507 |
| Phone Number | 3096765546 |
| Fax Number | 3096765045 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 36077466 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36077466 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Paul Driessnack by the Centers for Medicare & Medicaid Services?
The Richard Paul Driessnack has been issued the NPI (National Provider Identifier) 1679573901, which 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 Richard Paul Driessnack is physically located?
The Richard Paul Driessnack is physically situated at the following address: 303 N William Kumpf Blvd, Peoria, IL, 616052507.
What is the Richard Paul Driessnack's area of specialization and corresponding taxonomy classification?
The Richard Paul Driessnack's specialty field is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their specialties.
When did the Richard Paul Driessnack receive its 1679573901?
The Richard Paul Driessnack was issued its 1679573901 on 2005-07-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Richard Paul Driessnack's details last updated?
The information pertaining to the Richard Paul Driessnack, including its address, specialty, and other details, was most recently updated on 2010-11-02.