Annessa R Blackmun in Chicago - Podiatrist
Annessa R Blackmun - NPI 1538321047
Annessa R Blackmun is a Podiatrist in Chicago, Illinois. Annessa R Blackmun practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Annessa R Blackmun is 1538321047. The last update date is 2017-03-29.
Annessa R Blackmun's current location address is 4350 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7737700140 and fax number 7737700141. The mailing address for Annessa R Blackmun is 4350 N Broadway St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annessa R Blackmun |
|---|---|
| Address | 4350 N Broadway St, Chicago, Illinois |
| Phone Number | 7737700140 |
| Fax Number | 7737700141 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1538321047 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2017-03-29 |
Provider Mailing Address Detail
| Address | 4350 N Broadway St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606131781 |
| Phone Number | 7737700140 |
| Fax Number | 7737700141 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16.005464 |
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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 |
|---|---|---|---|
| P01781390 | MO | RAILROAD MEDICARE | |
| 1538321047 | MO | -- | |
| P01796928 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Annessa R Blackmun by the Centers for Medicare & Medicaid Services (CMS)?
The Annessa R Blackmun has been assigned the NPI (National Provider Identifier) 1538321047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Annessa R Blackmun is physically located?
The Annessa R Blackmun is situated at the following address: 4350 N Broadway St, Chicago, IL 606131781.
What is Annessa R Blackmun's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Annessa R Blackmun's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Annessa R Blackmun receive the assignment of its 1538321047 from the Centers for Medicare & Medicaid Services?
The Annessa R Blackmun was issued its 1538321047 by the Centers for Medicare & Medicaid Services on 2008-06-26.
As of what date was the information pertaining to Annessa R Blackmun, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Annessa R Blackmun, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-29.
NPI Number: 1982608949
Address: 1320 Linglestown Road, Harrisburg, PA