Dale J. Buranosky in Naperville - Sports Medicine

Dale J. Buranosky - NPI 1700872595

Dale J. Buranosky is a Sports Medicine in Naperville, Illinois. Dale J. Buranosky practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Dale J. Buranosky is 1700872595. The last update date is 2023-08-04.

Dale J. Buranosky's current location address is 1259 Rickert Dr Ste 101, Naperville, Illinois. You can contact this provider via phone number 6305106929 and fax number 6308511756. The mailing address for Dale J. Buranosky is 1259 Rickert Dr Ste 101, Naperville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale J. Buranosky
Address 1259 Rickert Dr Ste 101, Naperville, Illinois
Phone Number 6305106929
Fax Number 6308511756
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1700872595
Provider Enumeration Date 2005-09-27
Last Updated Date 2023-08-04

Provider Mailing Address Detail

Address 1259 Rickert Dr Ste 101
City Naperville
State Illinois (IL)
Post Code 605408904
Phone Number 6305106929
Fax Number 6308511756

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 213Es0000X
Licence No 16004820
Definition:
A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16004820 IL --
200027778 IL RAILROAD MEDICARE

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FAQs about Dale J. Buranosky

What is the unique 10-digit identifier code assigned to Dale J. Buranosky by the Centers for Medicare & Medicaid Services?

The Dale J. Buranosky has been issued the NPI (National Provider Identifier) 1700872595 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Dale J. Buranosky's physical address?

The Dale J. Buranosky is physically located at 1259 Rickert Dr Ste 101, in the city of Naperville, IL, with the postal code 605408904.

What is Dale J. Buranosky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dale J. Buranosky is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 213Es0000X.

On what date did Dale J. Buranosky receive its 1700872595 assignment from the Centers for Medicare & Medicaid Services?

The Dale J. Buranosky was assigned its 1700872595 on 2005-09-27, 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 Dale J. Buranosky most recently updated or revised?

The details related to Dale J. Buranosky, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-04.

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