Specialty Physicians Of Illinois, Llc in Detroit - Otolaryngology
Specialty Physicians Of Illinois, Llc - NPI 1124075676
Specialty Physicians Of Illinois, Llc is a Otolaryngology in Detroit, Michigan. Specialty Physicians Of Illinois, Llc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Specialty Physicians Of Illinois, Llc is 1124075676. The last update date is 2023-02-15.
Specialty Physicians Of Illinois, Llc's current location address is Po Box 781076, Detroit, Michigan. You can contact this provider via phone number 3175284800 and fax number 3178651479. The mailing address for Specialty Physicians Of Illinois, Llc is Po Box 781076, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialty Physicians Of Illinois, Llc |
|---|---|
| Address | Po Box 781076, Detroit, Michigan |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Phalen Donna |
| Telephone Number | 2195544548 |
NPI Number Detail
| NPI Number | 1124075676 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2023-02-15 |
Provider Mailing Address Detail
| Address | Po Box 781076 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482781076 |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203979 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Specialty Physicians Of Illinois, Llc by the Centers for Medicare & Medicaid Services?
The Specialty Physicians Of Illinois, Llc has been issued the NPI (National Provider Identifier) 1124075676 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Specialty Physicians Of Illinois, Llc's facilities are situated?
The facilities of Specialty Physicians Of Illinois, Llc are physically located at the following address: Po Box 781076, Detroit, MI, 482781076.
What is Specialty Physicians Of Illinois, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Specialty Physicians Of Illinois, Llc is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124075676 to Specialty Physicians Of Illinois, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1124075676 to Specialty Physicians Of Illinois, Llc on 2006-05-30.
When was the information pertaining to Specialty Physicians Of Illinois, Llc most recently updated or revised?
The details related to Specialty Physicians Of Illinois, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-02-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY