Mark Camilleri in Berwyn - Foot & Ankle Surgery
Mark Camilleri - NPI 1912992470
Mark Camilleri is a Foot & Ankle Surgery in Berwyn, Illinois. Mark Camilleri practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mark Camilleri is 1912992470. The last update date is 2007-11-29.
Mark Camilleri's current location address is 2618 Ridgeland Ave, Berwyn, Illinois. You can contact this provider via phone number 7087885232 and fax number 7087883618. The mailing address for Mark Camilleri is 2618 Ridgeland Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Camilleri |
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Address | 2618 Ridgeland Ave, Berwyn, Illinois |
Phone Number | 7087885232 |
Fax Number | 7087883618 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1912992470 |
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Provider Enumeration Date | 2005-09-12 |
Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
Address | 2618 Ridgeland Ave |
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City | Berwyn |
State | Illinois (IL) |
Post Code | 604022725 |
Phone Number | 7087885232 |
Fax Number | 7087883618 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
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Taxonomy | 213Es0103X |
Licence No | 16004695 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5734225 | IL | AETNA | |
60001136 | IL | BLUE CROSS BLULE SHIELD |
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What is the unique 10-digit identification code assigned to Mark Camilleri by the Centers for Medicare & Medicaid Services?
The Mark Camilleri has been issued the NPI (National Provider Identifier) 1912992470, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Camilleri's physical address?
The Mark Camilleri is physically located at 2618 Ridgeland Ave, in the city of Berwyn, IL, with the postal code 604022725.
What is Mark Camilleri's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Camilleri is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.
When was the Mark Camilleri's 1912992470 issued?
The Mark Camilleri's 1912992470 was issued on 2005-09-12.
When was the information regarding Mark Camilleri most recently updated?
The details pertaining to the Mark Camilleri, including its address, specialty, and other relevant information, were last refreshed on 2007-11-29.