Brian Edmund Walczak in Aurora - Sports Medicine
Brian Edmund Walczak - NPI 1538366158
Brian Edmund Walczak is a Sports Medicine in Aurora, Illinois. Brian Edmund Walczak practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brian Edmund Walczak is 1538366158. The last update date is 2022-12-06.
Brian Edmund Walczak's current location address is 2111 Ogden Ave, Aurora, Illinois. You can contact this provider via phone number 6309783800. The mailing address for Brian Edmund Walczak is 2111 Ogden Ave, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edmund Walczak |
|---|---|
| Address | 2111 Ogden Ave, Aurora, Illinois |
| Phone Number | 6309783800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1538366158 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2022-12-06 |
Provider Mailing Address Detail
| Address | 2111 Ogden Ave |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605047597 |
| Phone Number | 6309783800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36163012 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique 10-digit identification code assigned to Brian Edmund Walczak by the Centers for Medicare & Medicaid Services?
The Brian Edmund Walczak has been issued the NPI (National Provider Identifier) 1538366158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Edmund Walczak's facilities are geographically located?
The facilities of Brian Edmund Walczak are physically situated at the following location: 2111 Ogden Ave, Aurora, IL, 605047597.
What is Brian Edmund Walczak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian Edmund Walczak's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
When did Brian Edmund Walczak receive its 1538366158 assignment?
The Brian Edmund Walczak was assigned its 1538366158 on 2007-06-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Brian Edmund Walczak most recently updated or revised?
The information pertaining to Brian Edmund Walczak, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-06.