Tandy Korte is a Pediatrics in Carbondale, Illinois. Tandy Korte practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tandy Korte is 1376656439. The last update date is 2020-10-30.
Tandy Korte's current location address is 2601 W Main St, Carbondale, Illinois. You can contact this provider via phone number 6185495361 and fax number 6183514878. The mailing address for Tandy Korte is 2601 W Main St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tandy Korte |
|---|---|
| Address | 2601 W Main St, Carbondale, Illinois |
| Phone Number | 6185495361 |
| Fax Number | 6183514878 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376656439 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | 2601 W Main St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011031 |
| Phone Number | 6185495361 |
| Fax Number | 6183514878 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36107118 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370021476 | IL | RR MEDICARE NUMBER | |
| 3932056 | IL | BCBS | |
| 324134 | IL | GHP | |
| 36107118 | IL | -- | |
| 133287 | IL | GHP INSURANCE NUMBER | |
| 75989 | IL | HAMP INSURANCE NUMBER | |
| 482487 | IL | HEALTHLINK | |
| 7210895 | IL | AETNA |
Post Comment/ Review Below
What is the Tandy Korte's unique identification number?
The Tandy Korte has been assigned the NPI (National Provider Identifier) Number 1376656439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Tandy Korte is physically located?
The Tandy Korte is physically situated at the following address: 2601 W Main St, Carbondale, IL, 629011031.
What is the Tandy Korte's specialty and taxonomy code?
The Tandy Korte's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376656439 to Tandy Korte?
The Centers for Medicare & Medicaid Services assigned the 1376656439 to Tandy Korte on 2006-08-15.
When was the information pertaining to Tandy Korte most recently updated or revised?
The details related to Tandy Korte, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-30.