Theodore R Sunder in Springfield - Neurology With Special Qualifications In Child Neurology
Theodore R Sunder - NPI 1255315065
Theodore R Sunder is a Neurology With Special Qualifications In Child Neurology in Springfield, Illinois. Theodore R Sunder practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Theodore R Sunder is 1255315065. The last update date is 2016-04-08.
Theodore R Sunder's current location address is 421 N 9th St, Springfield, Illinois. You can contact this provider via phone number 2177576888 and fax number 2177576869. The mailing address for Theodore R Sunder is 421 N 9th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore R Sunder |
|---|---|
| Address | 421 N 9th St, Springfield, Illinois |
| Phone Number | 2177576888 |
| Fax Number | 2177576869 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255315065 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2016-04-08 |
Provider Mailing Address Detail
| Address | 421 N 9th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627025317 |
| Phone Number | 2177576888 |
| Fax Number | 2177576869 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 036-088538 |
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Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36088538 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Theodore R Sunder by the Centers for Medicare & Medicaid Services?
The Theodore R Sunder has been issued the NPI (National Provider Identifier) 1255315065. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Theodore R Sunder is located?
The Theodore R Sunder is situated at the following address: 421 N 9Th St, Springfield, IL, 627025317.
What is Theodore R Sunder's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore R Sunder's area of specialization is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0402X.
When was the Theodore R Sunder's 1255315065 issued?
The Theodore R Sunder's 1255315065 was issued on 2005-12-05.
As of what date were the details pertaining to Theodore R Sunder last refreshed?
The information related to the Theodore R Sunder, including its address, specialty, and other relevant details, was last updated on 2016-04-08.