Gregory Dalencourt in Mount Vernon - Surgery
Gregory Dalencourt - NPI 1013185842
Gregory Dalencourt is a Surgery in Mount Vernon, Illinois. Gregory Dalencourt practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gregory Dalencourt is 1013185842. The last update date is 2016-09-21.
Gregory Dalencourt's current location address is 4113 S Water Tower Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182419071 and fax number 6182419079. The mailing address for Gregory Dalencourt is 4113 S Water Tower Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Dalencourt |
|---|---|
| Address | 4113 S Water Tower Pl, Mount Vernon, Illinois |
| Phone Number | 6182419071 |
| Fax Number | 6182419079 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013185842 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
| Address | 4113 S Water Tower Pl |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646293 |
| Phone Number | 6182419071 |
| Fax Number | 6182419079 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 247251 |
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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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What is the unique identification code assigned to Gregory Dalencourt by the Centers for Medicare & Medicaid Services?
The Gregory Dalencourt has been issued the NPI (National Provider Identifier) 1013185842. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gregory Dalencourt located?
The Gregory Dalencourt is located at 4113 S Water Tower Pl, Mount Vernon, IL 628646293.
What is Gregory Dalencourt'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 Gregory Dalencourt is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did Gregory Dalencourt receive its 1013185842 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Dalencourt was assigned its 1013185842 on 2008-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Gregory Dalencourt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Dalencourt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-21.