Perryville Surgical Associates Sc in Rockford - Surgery
Perryville Surgical Associates Sc - NPI 1154427664
Perryville Surgical Associates Sc is a Surgery in Rockford, Illinois. Perryville Surgical Associates Sc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Perryville Surgical Associates Sc is 1154427664. The last update date is 2011-05-18.
Perryville Surgical Associates Sc's current location address is 535 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153980175 and fax number 8153989587. The mailing address for Perryville Surgical Associates Sc is 535 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Perryville Surgical Associates Sc |
|---|---|
| Address | 535 Roxbury Rd, Rockford, Illinois |
| Phone Number | 8153980175 |
| Fax Number | 8153989587 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Mihelich W Kenneth |
| Credentials | MD |
| Telephone Number | 8153980175 |
NPI Number Detail
| NPI Number | 1154427664 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2011-05-18 |
Provider Mailing Address Detail
| Address | 535 Roxbury Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075076 |
| Phone Number | 8153980175 |
| Fax Number | 8153989587 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
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 |
|---|---|---|---|
| 10100629 | IL | BLUE CROSS BLUE SHIELD | |
| L011529 | TRICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Perryville Surgical Associates Sc?
The Perryville Surgical Associates Sc has been issued the NPI (National Provider Identifier) 1154427664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Perryville Surgical Associates Sc's facilities are situated?
The facilities of Perryville Surgical Associates Sc are physically located at the following address: 535 Roxbury Rd, Rockford, IL, 611075076.
What is the Perryville Surgical Associates Sc's specialty and taxonomy code?
The Perryville Surgical Associates Sc's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date was the 1154427664 assigned to Perryville Surgical Associates Sc?
The Perryville Surgical Associates Sc was issued its 1154427664 on 2006-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Perryville Surgical Associates Sc's information last updated?
The Perryville Surgical Associates Sc's information was last updated on 2011-05-18.
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