Darcee Lynn Divan is a Pediatrics in Urbana, Illinois. Darcee Lynn Divan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Darcee Lynn Divan is 1306978374. The last update date is 2008-05-30.
Darcee Lynn Divan's current location address is 810 W Anthony Dr, Urbana, Illinois. You can contact this provider via phone number 2173833400. The mailing address for Darcee Lynn Divan is 810 W Anthony Dr, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darcee Lynn Divan |
|---|---|
| Address | 810 W Anthony Dr, Urbana, Illinois |
| Phone Number | 2173833400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1306978374 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 810 W Anthony Dr |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618027431 |
| Phone Number | 2173833400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 05009175A |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200845000 | IN | EARLY INTERVENTION | |
| 200848330 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Darcee Lynn Divan by the Centers for Medicare & Medicaid Services?
The Darcee Lynn Divan has been assigned the NPI (National Provider Identifier) 1306978374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Darcee Lynn Divan is physically located?
The Darcee Lynn Divan is situated at the following address: 810 W Anthony Dr, Urbana, IL 618027431.
What is Darcee Lynn Divan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Darcee Lynn Divan is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306978374 to Darcee Lynn Divan?
The Darcee Lynn Divan received its 1306978374 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information pertaining to Darcee Lynn Divan most recently updated or revised?
The details related to Darcee Lynn Divan, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-30.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX