Annette V Shores is a Surgery in Mount Vernon, Illinois. Annette V Shores practices all healthcare services and medical treatments related to Surgery. The NPI Number for Annette V Shores is 1912903857. The last update date is 2014-01-08.
Annette V Shores's current location address is 2 Good Samaritan Way, Mount Vernon, Illinois. You can contact this provider via phone number 6188993980 and fax number 6188994793. The mailing address for Annette V Shores is 2 Good Samaritan Way, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annette V Shores |
|---|---|
| Address | 2 Good Samaritan Way, Mount Vernon, Illinois |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912903857 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 2 Good Samaritan Way |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642408 |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36093049 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093049 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Annette V Shores by the Centers for Medicare & Medicaid Services?
The Annette V Shores has been assigned the NPI (National Provider Identifier) 1912903857 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Annette V Shores is physically located?
The Annette V Shores is situated at the following address: 2 Good Samaritan Way, Mount Vernon, IL 628642408.
What is Annette V Shores's specialized field of practice, and what is the corresponding taxonomy classification code?
The Annette V Shores's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date was the 1912903857 assigned to Annette V Shores?
The Annette V Shores was issued its 1912903857 on 2005-06-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Annette V Shores, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Annette V Shores, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-08.