Todd R Brack is a Diagnostic Radiology in Chicago, Illinois. Todd R Brack practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Todd R Brack is 1669422630. The last update date is 2007-08-02.
Todd R Brack's current location address is 2233 W Division St, Chicago, Illinois. You can contact this provider via phone number 3127702181 and fax number 3127703159. The mailing address for Todd R Brack is 2233 W Division St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd R Brack |
|---|---|
| Address | 2233 W Division St, Chicago, Illinois |
| Phone Number | 3127702181 |
| Fax Number | 3127703159 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1669422630 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-08-02 |
Provider Mailing Address Detail
| Address | 2233 W Division St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606223043 |
| Phone Number | 3127702181 |
| Fax Number | 3127703159 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36093203 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093203 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Todd R Brack by the Centers for Medicare & Medicaid Services (CMS)?
The Todd R Brack has been assigned the NPI (National Provider Identifier) 1669422630. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Todd R Brack located?
The Todd R Brack is located at 2233 W Division St, Chicago, IL 606223043.
What is Todd R Brack'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 Todd R Brack is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Todd R Brack receive the assignment of its 1669422630 from the Centers for Medicare & Medicaid Services?
The Todd R Brack was issued its 1669422630 by the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the Todd R Brack's details last updated?
The information pertaining to the Todd R Brack, including its address, specialty, and other details, was most recently updated on 2007-08-02.