Edward C Pyun in Rockford - Surgery

Edward C Pyun - NPI 1386748473

Edward C Pyun is a Surgery in Rockford, Illinois. Edward C Pyun practices all healthcare services and medical treatments related to Surgery. The NPI Number for Edward C Pyun is 1386748473. The last update date is 2015-10-02.

Edward C Pyun's current location address is 5668 E State St, Rockford, Illinois. You can contact this provider via phone number 8152297580. The mailing address for Edward C Pyun is 5668 E State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward C Pyun
Address 5668 E State St, Rockford, Illinois
Phone Number 8152297580
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386748473
Provider Enumeration Date 2006-09-11
Last Updated Date 2015-10-02

Provider Mailing Address Detail

Address 5668 E State St
City Rockford
State Illinois (IL)
Post Code 611082464
Phone Number 8152297580
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 36111344
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
P00198742 PALMETTO GBA RAILROAD MED
36111344 IL --

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FAQs about Edward C Pyun

What is the unique 10-digit identifier code assigned to Edward C Pyun by the Centers for Medicare & Medicaid Services?

The Edward C Pyun has been issued the NPI (National Provider Identifier) 1386748473 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Edward C Pyun is geographically located?

The Edward C Pyun is physically situated at the following location: 5668 E State St, Rockford, IL, 611082464.

What is Edward C Pyun's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edward C Pyun is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did the Edward C Pyun receive the assignment of its 1386748473 from the Centers for Medicare & Medicaid Services?

The Edward C Pyun was issued its 1386748473 by the Centers for Medicare & Medicaid Services on 2006-09-11.

When was the information regarding Edward C Pyun, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edward C Pyun, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-02.

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