Jeffrey M Mjaanes in Westchester - Sports Medicine
Jeffrey M Mjaanes - NPI 1083641427
Jeffrey M Mjaanes is a Sports Medicine in Westchester, Illinois. Jeffrey M Mjaanes practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeffrey M Mjaanes is 1083641427. The last update date is 2012-09-18.
Jeffrey M Mjaanes's current location address is 1 Westbrook Corporate Ctr, Westchester, Illinois. You can contact this provider via phone number 7082362673. The mailing address for Jeffrey M Mjaanes is 1 Westbrook Corporate Ctr, Westchester, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey M Mjaanes |
|---|---|
| Address | 1 Westbrook Corporate Ctr, Westchester, Illinois |
| Phone Number | 7082362673 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083641427 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
| Address | 1 Westbrook Corporate Ctr |
|---|---|
| City | Westchester |
| State | Illinois (IL) |
| Post Code | 601545701 |
| Phone Number | 7082362673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | 36107254 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036107254 2 | IL | -- | |
| 1633878 | IL | BCBS PROVIDER NUMBER | |
| 7081518 | AETNA PROVIDER NUMBER | ||
| 207073 | IL | MEDICARE PTAN NUMBER LOCALITY | |
| 207067 | IL | MEDICARE PTAN NUMBER LOCALITY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey M Mjaanes by the Centers for Medicare & Medicaid Services?
The Jeffrey M Mjaanes has been issued the NPI (National Provider Identifier) 1083641427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey M Mjaanes?
The Jeffrey M Mjaanes is situated at 1 Westbrook Corporate Ctr, in the city of Westchester, state of IL, with the zip code 601545701.
What is Jeffrey M Mjaanes's area of expertise and its corresponding taxonomy classification?
The Jeffrey M Mjaanes's field of specialization is Sports Medicine, and it falls under the taxonomy code 2080S0010X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey M Mjaanes receive its 1083641427 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey M Mjaanes was assigned its 1083641427 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information regarding Jeffrey M Mjaanes, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeffrey M Mjaanes, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-18.
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