Andrea S. Dirksen in Roscoe - Foot & Ankle Surgery
Andrea S. Dirksen - NPI 1194909309
Andrea S. Dirksen is a Foot & Ankle Surgery in Roscoe, Illinois. Andrea S. Dirksen practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Andrea S. Dirksen is 1194909309. The last update date is 2021-03-19.
Andrea S. Dirksen's current location address is 5492 Heartwood Ln, Roscoe, Illinois. You can contact this provider via phone number 7795374134. The mailing address for Andrea S. Dirksen is 5492 Heartwood Ln, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea S. Dirksen |
|---|---|
| Address | 5492 Heartwood Ln, Roscoe, Illinois |
| Phone Number | 7795374134 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1194909309 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 5492 Heartwood Ln |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610737922 |
| Phone Number | 7795374134 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16.00532 |
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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 Andrea S. Dirksen by the Centers for Medicare & Medicaid Services?
The Andrea S. Dirksen has been assigned the NPI (National Provider Identifier) 1194909309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Andrea S. Dirksen?
The Andrea S. Dirksen is physically situated at 5492 Heartwood Ln, in the city of Roscoe, state of IL, with the postal code 610737922.
What is the Andrea S. Dirksen's specialty and taxonomy code?
The Andrea S. Dirksen's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date was the 1194909309 assigned to Andrea S. Dirksen?
The Andrea S. Dirksen was issued its 1194909309 on 2007-12-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Andrea S. Dirksen most recently updated or revised?
The details related to Andrea S. Dirksen, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-19.