Malcolm Dugro Herzog in Chicago - Foot & Ankle Surgery
Malcolm Dugro Herzog - NPI 1356450415
Malcolm Dugro Herzog is a Foot & Ankle Surgery in Chicago, Illinois. Malcolm Dugro Herzog practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Malcolm Dugro Herzog is 1356450415. The last update date is 2007-07-08.
Malcolm Dugro Herzog's current location address is 5241 S Cicero Ave, Chicago, Illinois. You can contact this provider via phone number 7732848811 and fax number 7732846431. The mailing address for Malcolm Dugro Herzog is 5241 S Cicero Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Dugro Herzog |
|---|---|
| Address | 5241 S Cicero Ave, Chicago, Illinois |
| Phone Number | 7732848811 |
| Fax Number | 7732846431 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1356450415 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5241 S Cicero Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606324967 |
| Phone Number | 7732848811 |
| Fax Number | 7732846431 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60001221 | IL | BC& BS PROVIDER # |
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What is the Malcolm Dugro Herzog's unique identification number?
The Malcolm Dugro Herzog has been assigned the NPI (National Provider Identifier) Number 1356450415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Malcolm Dugro Herzog located?
The Malcolm Dugro Herzog is located at 5241 S Cicero Ave, Chicago, IL 606324967.
What is the Malcolm Dugro Herzog's area of specialization and corresponding taxonomy classification?
The Malcolm Dugro Herzog's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did Malcolm Dugro Herzog receive its 1356450415 assignment from the Centers for Medicare & Medicaid Services?
The Malcolm Dugro Herzog was assigned its 1356450415 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Malcolm Dugro Herzog most recently updated or revised?
The details related to Malcolm Dugro Herzog, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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