Bruce I Dodt is a Neurology in Kankakee, Illinois. Bruce I Dodt practices all healthcare services and medical treatments related to Neurology. The NPI Number for Bruce I Dodt is 1013059005. The last update date is 2021-03-22.
Bruce I Dodt's current location address is 500 N Wall St Ste 300, Kankakee, Illinois. You can contact this provider via phone number 8159350750 and fax number 8159358797. The mailing address for Bruce I Dodt is 500 N Wall St Ste 300, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce I Dodt |
|---|---|
| Address | 500 N Wall St Ste 300, Kankakee, Illinois |
| Phone Number | 8159350750 |
| Fax Number | 8159358797 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013059005 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 500 N Wall St Ste 300 |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609012942 |
| Phone Number | 8159350750 |
| Fax Number | 8159358797 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 36060250 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36060250 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce I Dodt by the Centers for Medicare & Medicaid Services?
The Bruce I Dodt has been assigned the NPI (National Provider Identifier) 1013059005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Bruce I Dodt?
The Bruce I Dodt is situated at 500 N Wall St Ste 300, in the city of Kankakee, state of IL, with the zip code 609012942.
What is Bruce I Dodt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce I Dodt is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.
On what date did the Bruce I Dodt receive the assignment of its 1013059005 from the Centers for Medicare & Medicaid Services?
The Bruce I Dodt was issued its 1013059005 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information pertaining to Bruce I Dodt most recently updated or revised?
The details related to Bruce I Dodt, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-22.
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