Jason L Serpe in Bourbonnais - Foot & Ankle Surgery
Jason L Serpe - NPI 1578660593
Jason L Serpe is a Foot & Ankle Surgery in Bourbonnais, Illinois. Jason L Serpe practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jason L Serpe is 1578660593. The last update date is 2021-03-29.
Jason L Serpe's current location address is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. You can contact this provider via phone number 8159352991 and fax number 8159329659. The mailing address for Jason L Serpe is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason L Serpe |
|---|---|
| Address | 400 Riverside Dr Ste 2100, Bourbonnais, Illinois |
| Phone Number | 8159352991 |
| Fax Number | 8159329659 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1578660593 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 400 Riverside Dr Ste 2100 |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609145004 |
| Phone Number | 8159352991 |
| Fax Number | 8159329659 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16005003 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the unique 10-digit identification code issued to Jason L Serpe by the Centers for Medicare & Medicaid Services?
The Jason L Serpe has been assigned the NPI (National Provider Identifier) 1578660593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jason L Serpe's facilities are situated?
The facilities of Jason L Serpe are physically located at the following address: 400 Riverside Dr Ste 2100, Bourbonnais, IL, 609145004.
What is Jason L Serpe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason L Serpe's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578660593 to Jason L Serpe?
The Jason L Serpe received its 1578660593 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Jason L Serpe's information last updated?
The Jason L Serpe's information was last updated on 2021-03-29.