Mircea Tudor Iacob in Winfield - Vascular Neurology

Mircea Tudor Iacob - NPI 1588617856

Mircea Tudor Iacob is a Vascular Neurology in Winfield, Illinois. Mircea Tudor Iacob practices all healthcare services and medical treatments related to Vascular Neurology. The NPI Number for Mircea Tudor Iacob is 1588617856. The last update date is 2012-12-03.

Mircea Tudor Iacob's current location address is 25 N Winfield Rd, Winfield, Illinois. You can contact this provider via phone number 6309334056 and fax number 6309334057. The mailing address for Mircea Tudor Iacob is 25 N Winfield Rd, Winfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mircea Tudor Iacob
Address 25 N Winfield Rd, Winfield, Illinois
Phone Number 6309334056
Fax Number 6309334057
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1588617856
Provider Enumeration Date 2006-05-18
Last Updated Date 2012-12-03

Provider Mailing Address Detail

Address 25 N Winfield Rd
City Winfield
State Illinois (IL)
Post Code 601901295
Phone Number 6309334056
Fax Number 6309334057

Provider's Primary Taxonomy Detail

Speciality Vascular Neurology
Taxonomy 2084V0102X
Licence No 36113093
Definition:
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a lar

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1635130 IL BCBS
P01090248 IL RAILROAD MEDICARE PTAN (INDIVI
206147084 IL MEDICARE PTAN (INDIVIDUAL)
36113093 IL --
CE8792 IL RAILROAD MEDICARE PTAN (GROUP)

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FAQs about Mircea Tudor Iacob

What is the unique identifier code issued to Mircea Tudor Iacob by the Centers for Medicare & Medicaid Services (CMS)?

The Mircea Tudor Iacob has been assigned the NPI (National Provider Identifier) 1588617856. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Mircea Tudor Iacob located?

The Mircea Tudor Iacob is located at 25 N Winfield Rd, Winfield, IL 601901295.

Could you please provide the complete physical location address of Mircea Tudor Iacob?

The Mircea Tudor Iacob is physically situated at 25 N Winfield Rd, in the city of Winfield, state of IL, with the postal code 601901295.

What is the area of specialization for Mircea Tudor Iacob, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mircea Tudor Iacob is Vascular Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084V0102X.

When was the information pertaining to Mircea Tudor Iacob most recently updated or revised?

The details related to Mircea Tudor Iacob, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-03.

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