Provena Service Corporation in Frankfort - Pediatrics

Provena Service Corporation - NPI 1255526687

Provena Service Corporation is a Pediatrics in Frankfort, Illinois. Provena Service Corporation practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Provena Service Corporation is 1255526687. The last update date is 2008-04-20.

Provena Service Corporation's current location address is 9223 W Saint Francis Rd, Frankfort, Illinois. You can contact this provider via phone number 8158063111. The mailing address for Provena Service Corporation is 9223 W Saint Francis Rd, Frankfort, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Provena Service Corporation
Address 9223 W Saint Francis Rd, Frankfort, Illinois
Phone Number 8158063111
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FINANCIAL
Authorized Official Name Boland Daniel
Telephone Number 8158063111

NPI Number Detail

NPI Number 1255526687
Provider Enumeration Date 2007-09-10
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 9223 W Saint Francis Rd
City Frankfort
State Illinois (IL)
Post Code 604238330
Phone Number 8158063111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
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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FAQs about Provena Service Corporation

What is the unique identifier code issued to Provena Service Corporation by the Centers for Medicare & Medicaid Services?

The Provena Service Corporation has been assigned the NPI (National Provider Identifier) 1255526687. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Provena Service Corporation's facilities are situated?

The facilities of Provena Service Corporation are physically located at the following address: 9223 W Saint Francis Rd, Frankfort, IL, 604238330.

What is Provena Service Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?

The Provena Service Corporation's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

When did Provena Service Corporation receive its 1255526687 assignment?

The Provena Service Corporation was assigned its 1255526687 on 2007-09-10, which is the date when this unique identifier was issued to the organization.

When was the Provena Service Corporation's information last updated?

The Provena Service Corporation's information was last updated on 2008-04-20.

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