Amy Van Santen is a Pediatrics in Forest Park, Illinois. Amy Van Santen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Amy Van Santen is 1104932201. The last update date is 2007-07-08.
Amy Van Santen's current location address is 215 Rockford Ave, Forest Park, Illinois. You can contact this provider via phone number 7084888744 and fax number 7084888744. The mailing address for Amy Van Santen is 215 Rockford Ave, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Van Santen |
|---|---|
| Address | 215 Rockford Ave, Forest Park, Illinois |
| Phone Number | 7084888744 |
| Fax Number | 7084888744 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1104932201 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 Rockford Ave |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601301209 |
| Phone Number | 7084888744 |
| Fax Number | 7084888744 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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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, |
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What is the unique 10-digit identification code issued to Amy Van Santen by the Centers for Medicare & Medicaid Services?
The Amy Van Santen has been assigned the NPI (National Provider Identifier) 1104932201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Amy Van Santen is located?
The Amy Van Santen is situated at the following address: 215 Rockford Ave, Forest Park, IL, 601301209.
What is the Amy Van Santen's area of specialization and corresponding taxonomy classification?
The Amy Van Santen's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1104932201 to Amy Van Santen?
The Amy Van Santen received its 1104932201 assignment from the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details pertaining to Amy Van Santen last refreshed?
The information related to the Amy Van Santen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.