John Stephen Esch in Bloomington - Surgery

John Stephen Esch - NPI 1558393124

John Stephen Esch is a Surgery in Bloomington, Illinois. John Stephen Esch practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Stephen Esch is 1558393124. The last update date is 2008-06-12.

John Stephen Esch's current location address is 1505 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096629022 and fax number 3096622091. The mailing address for John Stephen Esch is 1505 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John Stephen Esch
Address 1505 Eastland Dr, Bloomington, Illinois
Phone Number 3096629022
Fax Number 3096622091
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558393124
Provider Enumeration Date 2006-07-06
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 1505 Eastland Dr
City Bloomington
State Illinois (IL)
Post Code 617013534
Phone Number 3096629022
Fax Number 3096622091

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 36075004
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5700284 ID BLUE CROSS BLUE SHIELD
36075004 IL PUBLIC AID

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FAQs about John Stephen Esch

What is the unique identifier code issued to John Stephen Esch by the Centers for Medicare & Medicaid Services (CMS)?

The John Stephen Esch has been assigned the NPI (National Provider Identifier) 1558393124. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where John Stephen Esch is physically located?

The John Stephen Esch is situated at the following address: 1505 Eastland Dr, Bloomington, IL 617013534.

What is John Stephen Esch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Stephen Esch is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558393124 to John Stephen Esch?

The Centers for Medicare & Medicaid Services originally issued the 1558393124 to John Stephen Esch on 2006-07-06.

As of what date was the information regarding John Stephen Esch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Stephen Esch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-12.

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