Glendon Burress in Rockford - Pediatric Gastroenterology
Glendon Burress - NPI 1639190200
Glendon Burress is a Pediatric Gastroenterology in Rockford, Illinois. Glendon Burress practices all healthcare services and medical treatments related to Pediatric Gastroenterology. 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 |
|---|---|
| Address | 2300 N. Rockton Ave., Rockford, Illinois |
| Phone Number | 8159712000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639190200 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2022-06-20 |
Provider Mailing Address Detail
| Address | 2300 N. Rockton Ave. |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61103 |
| Phone Number | 8159712000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 36087077 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Pediatric Gastroenterology, and the corresponding taxonomy code is 2080P0206X.
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.