Job B. Pontillas is a Surgery in Anna, Illinois. Job B. Pontillas practices all healthcare services and medical treatments related to Surgery. The NPI Number for Job B. Pontillas is 1417945577. The last update date is 2009-02-05.
Job B. Pontillas's current location address is 515 N Main St, Anna, Illinois. You can contact this provider via phone number 6188332872 and fax number 6188332414. The mailing address for Job B. Pontillas is 515 N Main St, Anna, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Job B. Pontillas |
|---|---|
| Address | 515 N Main St, Anna, Illinois |
| Phone Number | 6188332872 |
| Fax Number | 6188332414 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417945577 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
| Address | 515 N Main St |
|---|---|
| City | Anna |
| State | Illinois (IL) |
| Post Code | 629061668 |
| Phone Number | 6188332872 |
| Fax Number | 6188332414 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 33163 |
|
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 |
|---|---|---|---|
| 31726018 | MO | BCBS--SERVICING PROV. # | |
| 20046928 | MO | -- | |
| 36108884 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Job B. Pontillas by the Centers for Medicare & Medicaid Services?
The Job B. Pontillas has been issued the NPI (National Provider Identifier) 1417945577, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Job B. Pontillas is located?
The Job B. Pontillas is situated at the following address: 515 N Main St, Anna, IL, 629061668.
What is Job B. Pontillas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Job B. Pontillas is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
When did the Job B. Pontillas receive its 1417945577?
The Job B. Pontillas was issued its 1417945577 on 2005-10-12, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Job B. Pontillas most recently updated or revised?
The details related to Job B. Pontillas, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-05.