Robert Nordstrom in Springfield - Diagnostic Radiology
Robert Nordstrom - NPI 1639112113
Robert Nordstrom is a Diagnostic Radiology in Springfield, Illinois. Robert Nordstrom practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Robert Nordstrom is 1639112113. The last update date is 2020-11-30.
Robert Nordstrom's current location address is 2040 W Iles Ave Ste C, Springfield, Illinois. You can contact this provider via phone number 2177890668. The mailing address for Robert Nordstrom is 2040 W Iles Ave Ste C, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Nordstrom |
|---|---|
| Address | 2040 W Iles Ave Ste C, Springfield, Illinois |
| Phone Number | 2177890668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639112113 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2020-11-30 |
Provider Mailing Address Detail
| Address | 2040 W Iles Ave Ste C |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627044183 |
| Phone Number | 2177890668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2009014887 |
|
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 |
|---|---|---|---|
| 36105375 | IL | -- | |
| 209331800 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Nordstrom by the Centers for Medicare & Medicaid Services?
The Robert Nordstrom has been issued the NPI (National Provider Identifier) 1639112113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robert Nordstrom?
The Robert Nordstrom is physically situated at 2040 W Iles Ave Ste C, in the city of Springfield, state of IL, with the postal code 627044183.
What is Robert Nordstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Nordstrom's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639112113 to Robert Nordstrom?
The Centers for Medicare & Medicaid Services assigned the 1639112113 to Robert Nordstrom on 2006-06-13.
When was the information regarding Robert Nordstrom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Nordstrom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-30.
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