Ira David Uretzky in Peoria - Facial Plastic Surgery
Ira David Uretzky - NPI 1013916428
Ira David Uretzky is a Facial Plastic Surgery in Peoria, Illinois. Ira David Uretzky practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Ira David Uretzky is 1013916428. The last update date is 2007-07-08.
Ira David Uretzky's current location address is 7301 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3095895900 and fax number 3095890448. The mailing address for Ira David Uretzky is 7301 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira David Uretzky |
|---|---|
| Address | 7301 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3095895900 |
| Fax Number | 3095890448 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013916428 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7301 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142017 |
| Phone Number | 3095895900 |
| Fax Number | 3095890448 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 99-00706 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1893999 | NC | FIRST HEALTH/CCN | |
| 4249389 | NC | CIGNA | |
| 7226261 | NC | AETNA | |
| 2262148 | NC | UNITED HEALTHCARE | |
| 1340 | NC | BCBS-NC | |
| 891340 | NC | -- | |
| D4928 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique identification code assigned to Ira David Uretzky by the Centers for Medicare & Medicaid Services?
The Ira David Uretzky has been issued the NPI (National Provider Identifier) 1013916428. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ira David Uretzky located?
The Ira David Uretzky is located at 7301 N Knoxville Ave, Peoria, IL 616142017.
What is Ira David Uretzky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ira David Uretzky is Facial Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 207Ys0123X.
On what date did Ira David Uretzky receive its 1013916428 assignment from the Centers for Medicare & Medicaid Services?
The Ira David Uretzky was assigned its 1013916428 on 2005-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ira David Uretzky last refreshed?
The information related to the Ira David Uretzky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.