Samina M Waggoner in Highland Park - Pediatrics
Samina M Waggoner - NPI 1750350948
Samina M Waggoner is a Pediatrics in Highland Park, Illinois. Samina M Waggoner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Samina M Waggoner is 1750350948. The last update date is 2013-07-17.
Samina M Waggoner's current location address is 718 Glenview Avenue, Highland Park, Illinois. You can contact this provider via phone number 8474802833 and fax number 8474802675. The mailing address for Samina M Waggoner is 718 Glenview Avenue, Highland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samina M Waggoner |
|---|---|
| Address | 718 Glenview Avenue, Highland Park, Illinois |
| Phone Number | 8474802833 |
| Fax Number | 8474802675 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750350948 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2013-07-17 |
Provider Mailing Address Detail
| Address | 718 Glenview Avenue |
|---|---|
| City | Highland Park |
| State | Illinois (IL) |
| Post Code | 60035 |
| Phone Number | 8474802833 |
| Fax Number | 8474802675 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36112866 |
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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 |
|---|---|---|---|
| 21622158 | IL | GROUP BLUE SHIELD NUMBER | |
| 36112866 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Samina M Waggoner by the Centers for Medicare & Medicaid Services?
The Samina M Waggoner has been issued the NPI (National Provider Identifier) 1750350948 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Samina M Waggoner's facilities are geographically located?
The facilities of Samina M Waggoner are physically situated at the following location: 718 Glenview Avenue, Highland Park, IL, 60035.
What is Samina M Waggoner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samina M Waggoner is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Samina M Waggoner receive the assignment of its 1750350948 from the Centers for Medicare & Medicaid Services?
The Samina M Waggoner was issued its 1750350948 by the Centers for Medicare & Medicaid Services on 2006-03-17.
When was the information pertaining to Samina M Waggoner most recently updated or revised?
The details related to Samina M Waggoner, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-17.
NPI Number: 1063415297
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