Susan P Hertweck in Chicago - Adolescent Medicine
Susan P Hertweck - NPI 1134147325
Susan P Hertweck is a Adolescent Medicine in Chicago, Illinois. Susan P Hertweck practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Susan P Hertweck is 1134147325. The last update date is 2020-05-26.
Susan P Hertweck's current location address is Po Box 766351, Chicago, Illinois. You can contact this provider via phone number 5025889490 and fax number 5022725116. The mailing address for Susan P Hertweck is Po Box 766351, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan P Hertweck |
|---|---|
| Address | Po Box 766351, Chicago, Illinois |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134147325 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2020-05-26 |
Provider Mailing Address Detail
| Address | Po Box 766351 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606776351 |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 25239 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100332440 | IN | -- | |
| 1049243 | KY | PASSPORT SPECIALITY - FOUNDATI | |
| 47600 | KY | ANTHEM - FOUNDATION | |
| 64252398 | KY | -- | |
| 1049273 | KY | PASSPORT SPECIALITY - PSC | |
| K027510 | KY | MEDICARE PTAN | |
| 1049241 | KY | PASSPORT PCP# - FOUNDATION | |
| 50034184 | KY | PASSPORT & PASSPORT ADVTG | |
| 45416 | KY | ANTHEM - PSC |
Post Comment/ Review Below
What is the Susan P Hertweck's 1134147325?
The Susan P Hertweck's NPI (National Provider Identifier) Number is 1134147325. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Susan P Hertweck's facilities are geographically located?
The facilities of Susan P Hertweck are physically situated at the following location: Po Box 766351, Chicago, IL, 606776351.
What is Susan P Hertweck's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan P Hertweck is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date was the 1134147325 assigned to Susan P Hertweck?
The Susan P Hertweck was issued its 1134147325 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Susan P Hertweck last refreshed?
The information related to the Susan P Hertweck, including its address, specialty, and other relevant details, was last updated on 2020-05-26.
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