Joseph Ben Mallory in Ottawa - Diagnostic Radiology

Joseph Ben Mallory - NPI 1649367251

Joseph Ben Mallory is a Diagnostic Radiology in Ottawa, Illinois. Joseph Ben Mallory practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Joseph Ben Mallory is 1649367251. The last update date is 2007-07-08.

Joseph Ben Mallory's current location address is Po Box 2426, Ottawa, Illinois. You can contact this provider via phone number 8154348890. The mailing address for Joseph Ben Mallory is Po Box 2426, Ottawa, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Ben Mallory
Address Po Box 2426, Ottawa, Illinois
Phone Number 8154348890
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1649367251
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 2426
City Ottawa
State Illinois (IL)
Post Code 613507026
Phone Number 8154348890
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
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
5032053 IL BCBS OF IL

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FAQs about Joseph Ben Mallory

What is the unique identification code assigned to Joseph Ben Mallory by the Centers for Medicare & Medicaid Services?

The Joseph Ben Mallory has been issued the NPI (National Provider Identifier) 1649367251. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Joseph Ben Mallory's facilities are geographically located?

The facilities of Joseph Ben Mallory are physically situated at the following location: Po Box 2426, Ottawa, IL, 613507026.

What is Joseph Ben Mallory's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Joseph Ben Mallory is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Joseph Ben Mallory receive the assignment of its 1649367251 from the Centers for Medicare & Medicaid Services?

The Joseph Ben Mallory was issued its 1649367251 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date were the Joseph Ben Mallory's details last updated?

The information pertaining to the Joseph Ben Mallory, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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