Lynn Raoul Dale in Mattoon - Diagnostic Radiology
Lynn Raoul Dale - NPI 1760477004
Lynn Raoul Dale is a Diagnostic Radiology in Mattoon, Illinois. Lynn Raoul Dale practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lynn Raoul Dale is 1760477004. The last update date is 2013-10-03.
Lynn Raoul Dale's current location address is 1000 Health Center Dr, Mattoon, Illinois. You can contact this provider via phone number 2172582141 and fax number 2175282336. The mailing address for Lynn Raoul Dale is 1000 Health Center Dr, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn Raoul Dale |
|---|---|
| Address | 1000 Health Center Dr, Mattoon, Illinois |
| Phone Number | 2172582141 |
| Fax Number | 2175282336 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760477004 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2013-10-03 |
Provider Mailing Address Detail
| Address | 1000 Health Center Dr |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619389253 |
| Phone Number | 2172582141 |
| Fax Number | 2175282336 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36044263 |
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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 |
|---|---|---|---|
| 36044263 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lynn Raoul Dale by the Centers for Medicare & Medicaid Services?
The Lynn Raoul Dale has been issued the NPI (National Provider Identifier) 1760477004. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lynn Raoul Dale is located?
The Lynn Raoul Dale is situated at the following address: 1000 Health Center Dr, Mattoon, IL, 619389253.
What is Lynn Raoul Dale's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lynn Raoul Dale is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did Lynn Raoul Dale receive its 1760477004 assignment from the Centers for Medicare & Medicaid Services?
The Lynn Raoul Dale was assigned its 1760477004 on 2005-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lynn Raoul Dale's details last updated?
The information pertaining to the Lynn Raoul Dale, including its address, specialty, and other details, was most recently updated on 2013-10-03.