Wenona Health Center S C in Wenona - Pediatrics
Wenona Health Center S C - NPI 1760602254
Wenona Health Center S C is a Pediatrics in Wenona, Illinois. Wenona Health Center S C practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wenona Health Center S C is 1760602254. The last update date is 2008-04-08.
Wenona Health Center S C's current location address is 516 S. Chestnut St, Wenona, Illinois. You can contact this provider via phone number 8158534402. The mailing address for Wenona Health Center S C is 516 S. Chestnut St, Wenona, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wenona Health Center S C |
|---|---|
| Address | 516 S. Chestnut St, Wenona, Illinois |
| Phone Number | 8158534402 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Baz T Samuel |
| Credentials | M.D. |
| Telephone Number | 8158534402 |
NPI Number Detail
| NPI Number | 1760602254 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 516 S. Chestnut St |
|---|---|
| City | Wenona |
| State | Illinois (IL) |
| Post Code | 61377 |
| Phone Number | 8158534402 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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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 |
|---|---|---|---|
| 6200024 | IL | BLUE CROSS BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique identification code assigned to Wenona Health Center S C by the Centers for Medicare & Medicaid Services?
The Wenona Health Center S C has been issued the NPI (National Provider Identifier) 1760602254. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wenona Health Center S C's facilities are situated?
The facilities of Wenona Health Center S C are physically located at the following address: 516 S. Chestnut St, Wenona, IL, 61377.
What is Wenona Health Center S C's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wenona Health Center S C is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760602254 to Wenona Health Center S C?
The Wenona Health Center S C received its 1760602254 assignment from the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the Wenona Health Center S C's information last updated?
The Wenona Health Center S C's information was last updated on 2008-04-08.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC