Kathleen M Bottum in Springfield - Psychiatry
Kathleen M Bottum - NPI 1124003025
Kathleen M Bottum is a Psychiatry in Springfield, Illinois. Kathleen M Bottum practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kathleen M Bottum is 1124003025. The last update date is 2020-10-20.
Kathleen M Bottum's current location address is Po Box 19642, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2175458163. The mailing address for Kathleen M Bottum is Po Box 19642, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathleen M Bottum |
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Address | Po Box 19642, Springfield, Illinois |
Phone Number | 2175458000 |
Fax Number | 2175458163 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1124003025 |
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Provider Enumeration Date | 2005-12-13 |
Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
Address | Po Box 19642 |
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City | Springfield |
State | Illinois (IL) |
Post Code | 627949642 |
Phone Number | 2175458000 |
Fax Number | 2175458163 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 036-106742 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36106435 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen M Bottum by the Centers for Medicare & Medicaid Services?
The Kathleen M Bottum has been assigned the NPI (National Provider Identifier) 1124003025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kathleen M Bottum?
The Kathleen M Bottum is physically situated at Po Box 19642, in the city of Springfield, state of IL, with the postal code 627949642.
What is Kathleen M Bottum'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 Kathleen M Bottum is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did Kathleen M Bottum receive its 1124003025 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen M Bottum was assigned its 1124003025 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kathleen M Bottum, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen M Bottum, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-20.
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