Kristine Jane Thayer in Roscoe - Pediatric Surgery
Kristine Jane Thayer - NPI 1366464950
Kristine Jane Thayer is a Pediatric Surgery in Roscoe, Illinois. Kristine Jane Thayer practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Kristine Jane Thayer is 1366464950. The last update date is 2023-01-06.
Kristine Jane Thayer's current location address is 12232 N Ledges Dr, Roscoe, Illinois. You can contact this provider via phone number 8152627241. The mailing address for Kristine Jane Thayer is 12232 N Ledges Dr, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Jane Thayer |
|---|---|
| Address | 12232 N Ledges Dr, Roscoe, Illinois |
| Phone Number | 8152627241 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366464950 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2023-01-06 |
Provider Mailing Address Detail
| Address | 12232 N Ledges Dr |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610739612 |
| Phone Number | 8152627241 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 49252 |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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What is the unique 10-digit identification code issued to Kristine Jane Thayer by the Centers for Medicare & Medicaid Services?
The Kristine Jane Thayer has been assigned the NPI (National Provider Identifier) 1366464950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kristine Jane Thayer's physical address?
The Kristine Jane Thayer is physically located at 12232 N Ledges Dr, in the city of Roscoe, IL, with the postal code 610739612.
What is Kristine Jane Thayer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristine Jane Thayer's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366464950 to Kristine Jane Thayer?
The Centers for Medicare & Medicaid Services assigned the 1366464950 to Kristine Jane Thayer on 2006-07-24.
When was the Kristine Jane Thayer's information last updated?
The Kristine Jane Thayer's information was last updated on 2023-01-06.
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