Mark Kelly is a Diagnostic Radiology in Winfield, Illinois. Mark Kelly practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark Kelly is 1770641136. The last update date is 2007-07-09.
Mark Kelly's current location address is 25 N Winfield Road, Winfield, Illinois. You can contact this provider via phone number 6309334240. The mailing address for Mark Kelly is 25 N Winfield Road, Winfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kelly |
|---|---|
| Address | 25 N Winfield Road, Winfield, Illinois |
| Phone Number | 6309334240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770641136 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 25 N Winfield Road |
|---|---|
| City | Winfield |
| State | Illinois (IL) |
| Post Code | 60190 |
| Phone Number | 6309334240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36091461 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Mark Kelly by the Centers for Medicare & Medicaid Services?
The Mark Kelly has been assigned the NPI (National Provider Identifier) 1770641136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Kelly is located?
The Mark Kelly is situated at the following address: 25 N Winfield Road, Winfield, IL, 60190.
What is the area of specialization for Mark Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Kelly is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did Mark Kelly receive its 1770641136 assignment from the Centers for Medicare & Medicaid Services?
The Mark Kelly was assigned its 1770641136 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Kelly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Kelly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1720081763
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