Samuel Vinci is a Sports Medicine in Westmont, Illinois. Samuel Vinci practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Samuel Vinci is 1639165467. The last update date is 2023-08-28.
Samuel Vinci's current location address is 303 W Ogden Ave Fl 2, Westmont, Illinois. You can contact this provider via phone number 6305106929 and fax number 6303553273. The mailing address for Samuel Vinci is 303 W Ogden Ave Fl 2, Westmont, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Vinci |
|---|---|
| Address | 303 W Ogden Ave Fl 2, Westmont, Illinois |
| Phone Number | 6305106929 |
| Fax Number | 6303553273 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1639165467 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2023-08-28 |
Provider Mailing Address Detail
| Address | 303 W Ogden Ave Fl 2 |
|---|---|
| City | Westmont |
| State | Illinois (IL) |
| Post Code | 605591419 |
| Phone Number | 6305106929 |
| Fax Number | 6303553273 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 16003414 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16003414 | IL | -- | |
| 480007268 | IL | RAILROAD MEDICARE |
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What is the unique 10-digit identification code assigned to Samuel Vinci by the Centers for Medicare & Medicaid Services?
The Samuel Vinci has been issued the NPI (National Provider Identifier) 1639165467, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Samuel Vinci?
The Samuel Vinci is situated at 303 W Ogden Ave Fl 2, in the city of Westmont, state of IL, with the zip code 605591419.
What is Samuel Vinci's area of expertise and its corresponding taxonomy classification?
The Samuel Vinci's field of specialization is Sports Medicine, and it falls under the taxonomy code 213Es0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639165467 to Samuel Vinci?
The Centers for Medicare & Medicaid Services originally issued the 1639165467 to Samuel Vinci on 2005-09-27.
When was the information pertaining to Samuel Vinci most recently updated or revised?
The details related to Samuel Vinci, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-28.
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