Jesse Mabaquiao is a Psychiatry in Chicago, Illinois. Jesse Mabaquiao practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jesse Mabaquiao is 1417922634. The last update date is 2007-10-22.
Jesse Mabaquiao's current location address is 333 S State Street, Chicago, Illinois. You can contact this provider via phone number 3127479443 and fax number 3127479447. The mailing address for Jesse Mabaquiao is 333 S State Street, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Mabaquiao |
|---|---|
| Address | 333 S State Street, Chicago, Illinois |
| Phone Number | 3127479443 |
| Fax Number | 3127479447 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1417922634 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 333 S State Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60604 |
| Phone Number | 3127479443 |
| Fax Number | 3127479447 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique provider identifier assigned to Jesse Mabaquiao?
The Jesse Mabaquiao has been issued the NPI (National Provider Identifier) 1417922634 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jesse Mabaquiao?
The Jesse Mabaquiao is physically situated at 333 S State Street, in the city of Chicago, state of IL, with the postal code 60604.
What is Jesse Mabaquiao's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesse Mabaquiao's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417922634 to Jesse Mabaquiao?
The Centers for Medicare & Medicaid Services assigned the 1417922634 to Jesse Mabaquiao on 2006-02-21.
As of what date were the details related to Jesse Mabaquiao most recently updated or revised?
The information pertaining to Jesse Mabaquiao, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-22.