Robert Stallworth in Springfield - Diagnostic Radiology
Robert Stallworth - NPI 1508808460
Robert Stallworth is a Diagnostic Radiology in Springfield, Illinois. Robert Stallworth practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Robert Stallworth is 1508808460. The last update date is 2008-07-17.
Robert Stallworth's current location address is 2040 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2177890668. The mailing address for Robert Stallworth is 2040 W Iles Ave, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Stallworth |
|---|---|
| Address | 2040 W Iles Ave, Springfield, Illinois |
| Phone Number | 2177890668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508808460 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 2040 W Iles Ave |
|---|---|
| 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 | 36059291 |
|
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 |
|---|---|---|---|
| 36059291 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Stallworth by the Centers for Medicare & Medicaid Services?
The Robert Stallworth has been assigned the NPI (National Provider Identifier) 1508808460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Robert Stallworth is physically located?
The Robert Stallworth is situated at the following address: 2040 W Iles Ave, Springfield, IL 627044183.
What is Robert Stallworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Stallworth is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
When did the Robert Stallworth receive its 1508808460?
The Robert Stallworth was issued its 1508808460 on 2006-06-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Robert Stallworth most recently updated?
The details pertaining to the Robert Stallworth, including its address, specialty, and other relevant information, were last refreshed on 2008-07-17.