Jennifer Ann Spath in Chicago - Pediatrics
Jennifer Ann Spath - NPI 1679791693
Jennifer Ann Spath is a Pediatrics in Chicago, Illinois. Jennifer Ann Spath practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer Ann Spath is 1679791693. The last update date is 2021-01-22.
Jennifer Ann Spath's current location address is Po Box 776351, Chicago, Illinois. You can contact this provider via phone number 5025889490 and fax number 5022725337. The mailing address for Jennifer Ann Spath is Po Box 776351, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ann Spath |
|---|---|
| Address | Po Box 776351, Chicago, Illinois |
| Phone Number | 5025889490 |
| Fax Number | 5022725337 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679791693 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2021-01-22 |
Provider Mailing Address Detail
| Address | Po Box 776351 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606776351 |
| Phone Number | 5025889490 |
| Fax Number | 5022725337 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 40742 |
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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 |
|---|---|---|---|
| 7100031050 | KY | -- | |
| 201080550 | IN | -- |
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What is the unique 10-digit identifier code assigned to Jennifer Ann Spath by the Centers for Medicare & Medicaid Services?
The Jennifer Ann Spath has been issued the NPI (National Provider Identifier) 1679791693 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer Ann Spath?
The Jennifer Ann Spath is situated at Po Box 776351, in the city of Chicago, state of IL, with the zip code 606776351.
What is the Jennifer Ann Spath's specialty and taxonomy code?
The Jennifer Ann Spath's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Jennifer Ann Spath receive the assignment of its 1679791693 from the Centers for Medicare & Medicaid Services?
The Jennifer Ann Spath was issued its 1679791693 by the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date was the information regarding Jennifer Ann Spath, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Ann Spath, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-22.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA