Mary E Keller is a Surgery in Rockford, Illinois. Mary E Keller practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mary E Keller is 1275567703. The last update date is 2015-10-06.
Mary E Keller's current location address is 5668 E State St, Rockford, Illinois. You can contact this provider via phone number 8152297580 and fax number 8152297585. The mailing address for Mary E Keller is 5668 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Keller |
|---|---|
| Address | 5668 E State St, Rockford, Illinois |
| Phone Number | 8152297580 |
| Fax Number | 8152297585 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275567703 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2015-10-06 |
Provider Mailing Address Detail
| Address | 5668 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082464 |
| Phone Number | 8152297580 |
| Fax Number | 8152297585 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36107717 |
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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 |
|---|---|---|---|
| 36107717 | IL | -- | |
| 20053661 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Mary E Keller's unique identification number?
The Mary E Keller has been assigned the NPI (National Provider Identifier) Number 1275567703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary E Keller is geographically located?
The Mary E Keller is physically situated at the following location: 5668 E State St, Rockford, IL, 611082464.
What is the Mary E Keller's specialty and taxonomy code?
The Mary E Keller's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275567703 to Mary E Keller?
The Mary E Keller received its 1275567703 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information regarding Mary E Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary E Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-10-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY