Glendon Burress is a Pediatrics in Rockford, Illinois. Glendon Burress practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Glendon Burress is 1639190200. The last update date is 2022-06-20.
Glendon Burress's current location address is 2300 N. Rockton Ave., Rockford, Illinois. You can contact this provider via phone number 8159712000. The mailing address for Glendon Burress is 2300 N. Rockton Ave., Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glendon Burress |
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Address | 2300 N. Rockton Ave., Rockford, Illinois |
Phone Number | 8159712000 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1639190200 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2022-06-20 |
Provider Mailing Address Detail
Address | 2300 N. Rockton Ave. |
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City | Rockford |
State | Illinois (IL) |
Post Code | 61103 |
Phone Number | 8159712000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 36087077 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36087077 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glendon Burress by the Centers for Medicare & Medicaid Services (CMS)?
The Glendon Burress has been assigned the NPI (National Provider Identifier) 1639190200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Glendon Burress?
The Glendon Burress is situated at 2300 N. Rockton Ave., in the city of Rockford, state of IL, with the zip code 61103.
What is the Glendon Burress's specialty and taxonomy code?
The Glendon Burress's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Glendon Burress receive the assignment of its 1639190200 from the Centers for Medicare & Medicaid Services?
The Glendon Burress was issued its 1639190200 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date was the information regarding Glendon Burress, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glendon Burress, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-06-20.