Timothy Rusthoven in Woodstock - Podiatrist
Timothy Rusthoven - NPI 1972668325
Timothy Rusthoven is a Podiatrist in Woodstock, Illinois. Timothy Rusthoven practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Timothy Rusthoven is 1972668325. The last update date is 2007-07-08.
Timothy Rusthoven's current location address is 2000 Lake Ave, Woodstock, Illinois. You can contact this provider via phone number 8153377100. The mailing address for Timothy Rusthoven is 2000 Lake Ave, Woodstock, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Rusthoven |
|---|---|
| Address | 2000 Lake Ave, Woodstock, Illinois |
| Phone Number | 8153377100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1972668325 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2000 Lake Ave |
|---|---|
| City | Woodstock |
| State | Illinois (IL) |
| Post Code | 600987401 |
| Phone Number | 8153377100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 550 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 016003921 4 | IL | -- | |
| 43225700 | WI | -- |
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What is the unique 10-digit identification code issued to Timothy Rusthoven by the Centers for Medicare & Medicaid Services?
The Timothy Rusthoven has been assigned the NPI (National Provider Identifier) 1972668325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Timothy Rusthoven?
The Timothy Rusthoven is situated at 2000 Lake Ave, in the city of Woodstock, state of IL, with the zip code 600987401.
What is the Timothy Rusthoven's area of specialization and corresponding taxonomy classification?
The Timothy Rusthoven's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1972668325 to Timothy Rusthoven?
The Timothy Rusthoven received its 1972668325 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.
When was the information pertaining to Timothy Rusthoven most recently updated or revised?
The details related to Timothy Rusthoven, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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