Juan Caicedo is a Surgery in Chicago, Illinois. Juan Caicedo practices all healthcare services and medical treatments related to Surgery. The NPI Number for Juan Caicedo is 1548216435. The last update date is 2009-06-24.
Juan Caicedo's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126958900 and fax number 3126959194. The mailing address for Juan Caicedo is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Juan Caicedo |
---|---|
Address | 680 N Lake Shore Dr, Chicago, Illinois |
Phone Number | 3126958900 |
Fax Number | 3126959194 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1548216435 |
---|---|
Provider Enumeration Date | 2006-05-25 |
Last Updated Date | 2009-06-24 |
Provider Mailing Address Detail
Address | 680 N Lake Shore Dr |
---|---|
City | Chicago |
State | Illinois (IL) |
Post Code | 606114546 |
Phone Number | 3126958900 |
Fax Number | 3126959194 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
---|---|
Taxonomy | 208600000X |
Licence No | 036-1151417 |
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 |
---|---|---|---|
36115142 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Juan Caicedo by the Centers for Medicare & Medicaid Services (CMS)?
The Juan Caicedo has been assigned the NPI (National Provider Identifier) 1548216435. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Juan Caicedo is physically located?
The Juan Caicedo is physically situated at the following address: 680 N Lake Shore Dr, Chicago, IL, 606114546.
What is Juan Caicedo's area of expertise and its corresponding taxonomy classification?
The Juan Caicedo's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1548216435 to Juan Caicedo?
The Centers for Medicare & Medicaid Services assigned the 1548216435 to Juan Caicedo on 2006-05-25.
As of what date was the information pertaining to Juan Caicedo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Juan Caicedo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-24.