Dale Steven Brink in South Holland - Podiatrist
Dale Steven Brink - NPI 1093722365
Dale Steven Brink is a Podiatrist in South Holland, Illinois. Dale Steven Brink practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dale Steven Brink is 1093722365. The last update date is 2009-12-02.
Dale Steven Brink's current location address is 401 E 162nd St Ste 101, South Holland, Illinois. You can contact this provider via phone number 7085963757 and fax number 7085963779. The mailing address for Dale Steven Brink is 401 E 162nd St Ste 101, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Steven Brink |
|---|---|
| Address | 401 E 162nd St Ste 101, South Holland, Illinois |
| Phone Number | 7085963757 |
| Fax Number | 7085963779 |
| Sole Proprietor | N |
| Credentials | DPM, FACFA |
NPI Number Detail
| NPI Number | 1093722365 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 401 E 162nd St Ste 101 |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604732237 |
| Phone Number | 7085963757 |
| Fax Number | 7085963779 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-004747 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16004747 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dale Steven Brink by the Centers for Medicare & Medicaid Services (CMS)?
The Dale Steven Brink has been assigned the NPI (National Provider Identifier) 1093722365. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Dale Steven Brink's facilities are situated?
The facilities of Dale Steven Brink are physically located at the following address: 401 E 162Nd St Ste 101, South Holland, IL, 604732237.
What is Dale Steven Brink's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dale Steven Brink is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093722365 to Dale Steven Brink?
The Centers for Medicare & Medicaid Services originally issued the 1093722365 to Dale Steven Brink on 2006-08-01.
As of what date was the information pertaining to Dale Steven Brink, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Steven Brink, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-12-02.