Sandra K Fernbach in Evanston - Pediatric Radiology

Sandra K Fernbach - NPI 1821164948

Sandra K Fernbach is a Pediatric Radiology in Evanston, Illinois. Sandra K Fernbach practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Sandra K Fernbach is 1821164948. The last update date is 2007-07-08.

Sandra K Fernbach's current location address is 2650 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8475702475 and fax number 8475702942. The mailing address for Sandra K Fernbach is 2650 Ridge Ave, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra K Fernbach
Address 2650 Ridge Ave, Evanston, Illinois
Phone Number 8475702475
Fax Number 8475702942
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821164948
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2650 Ridge Ave
City Evanston
State Illinois (IL)
Post Code 602011718
Phone Number 8475702475
Fax Number 8475702942

Provider's Primary Taxonomy Detail

Speciality Pediatric Radiology
Taxonomy 2085P0229X
Definition:
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca

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FAQs about Sandra K Fernbach

What is the unique identifier code issued to Sandra K Fernbach by the Centers for Medicare & Medicaid Services (CMS)?

The Sandra K Fernbach has been assigned the NPI (National Provider Identifier) 1821164948. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Sandra K Fernbach's facilities are situated?

The facilities of Sandra K Fernbach are physically located at the following address: 2650 Ridge Ave, Evanston, IL, 602011718.

What is Sandra K Fernbach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sandra K Fernbach is Pediatric Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085P0229X.

On what date was the 1821164948 assigned to Sandra K Fernbach?

The Sandra K Fernbach was issued its 1821164948 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Sandra K Fernbach most recently updated or revised?

The information pertaining to Sandra K Fernbach, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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