Barbara May Wieties-Malm in Blue Island - Diagnostic Radiology
Barbara May Wieties-Malm - NPI 1699753780
Barbara May Wieties-Malm is a Diagnostic Radiology in Blue Island, Illinois. Barbara May Wieties-Malm practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Barbara May Wieties-Malm is 1699753780. The last update date is 2010-06-21.
Barbara May Wieties-Malm's current location address is 12935 Gregory St, Blue Island, Illinois. You can contact this provider via phone number 7085972000. The mailing address for Barbara May Wieties-Malm is 12935 Gregory St, Blue Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara May Wieties-Malm |
|---|---|
| Address | 12935 Gregory St, Blue Island, Illinois |
| Phone Number | 7085972000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699753780 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2010-06-21 |
Provider Mailing Address Detail
| Address | 12935 Gregory St |
|---|---|
| City | Blue Island |
| State | Illinois (IL) |
| Post Code | 604062428 |
| Phone Number | 7085972000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36068572 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1615363 | IL | GROUP PIN | |
| 36068572 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Barbara May Wieties-Malm?
The Barbara May Wieties-Malm has been issued the NPI (National Provider Identifier) 1699753780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Barbara May Wieties-Malm's physical address?
The Barbara May Wieties-Malm is physically located at 12935 Gregory St, in the city of Blue Island, IL, with the postal code 604062428.
What is the Barbara May Wieties-Malm's area of specialization and corresponding taxonomy classification?
The Barbara May Wieties-Malm's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
When did the Barbara May Wieties-Malm receive its 1699753780?
The Barbara May Wieties-Malm was issued its 1699753780 on 2006-01-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Barbara May Wieties-Malm most recently updated or revised?
The details related to Barbara May Wieties-Malm, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-21.
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