Dekalb Clinic Chartered in Sycamore - Pediatrics
Dekalb Clinic Chartered - NPI 1447277140
Dekalb Clinic Chartered is a Pediatrics in Sycamore, Illinois. Dekalb Clinic Chartered practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dekalb Clinic Chartered is 1447277140. The last update date is 2013-04-30.
Dekalb Clinic Chartered's current location address is 1850 Gateway Dr, Sycamore, Illinois. You can contact this provider via phone number 8157588671 and fax number 8157585610. The mailing address for Dekalb Clinic Chartered is 1850 Gateway Dr, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Clinic Chartered |
|---|---|
| Address | 1850 Gateway Dr, Sycamore, Illinois |
| Phone Number | 8157588671 |
| Fax Number | 8157585610 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN, |
|---|---|
| Authorized Official Name | Haab L Roger |
| Credentials | M.D. |
| Telephone Number | 8157588671 |
NPI Number Detail
| NPI Number | 1447277140 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2013-04-30 |
Provider Mailing Address Detail
| Address | 1850 Gateway Dr |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 601783192 |
| Phone Number | 8157588671 |
| Fax Number | 8157585610 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14D0415284 | IL | CLIA # | |
| 1421279 | IL | NABP | |
| 663680 | IL | MEDICARE-GROUP ID | |
| 148547 | IL | MC INDEPENDENT LAB |
Post Comment/ Review Below
What is the Dekalb Clinic Chartered's unique identification number?
The Dekalb Clinic Chartered has been assigned the NPI (National Provider Identifier) Number 1447277140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dekalb Clinic Chartered is located?
The Dekalb Clinic Chartered is situated at the following address: 1850 Gateway Dr, Sycamore, IL, 601783192.
What is Dekalb Clinic Chartered's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dekalb Clinic Chartered's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Dekalb Clinic Chartered receive the assignment of its 1447277140 from the Centers for Medicare & Medicaid Services?
The Dekalb Clinic Chartered was issued its 1447277140 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the Dekalb Clinic Chartered's details last updated?
The information pertaining to the Dekalb Clinic Chartered, including its address, specialty, and other details, was most recently updated on 2013-04-30.
NPI Number: 1902809924
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