Karla Sue Brockman in Highland - Pediatrics
Karla Sue Brockman - NPI 1114933736
Karla Sue Brockman is a Pediatrics in Highland, Illinois. Karla Sue Brockman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Karla Sue Brockman is 1114933736. The last update date is 2007-07-08.
Karla Sue Brockman's current location address is 11315 Lake Rd, Highland, Illinois. You can contact this provider via phone number 6186445766 and fax number 6186442102. The mailing address for Karla Sue Brockman is 11315 Lake Rd, Highland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karla Sue Brockman |
|---|---|
| Address | 11315 Lake Rd, Highland, Illinois |
| Phone Number | 6186445766 |
| Fax Number | 6186442102 |
| Sole Proprietor | Y |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1114933736 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11315 Lake Rd |
|---|---|
| City | Highland |
| State | Illinois (IL) |
| Post Code | 622494023 |
| Phone Number | 6186445766 |
| Fax Number | 6186442102 |
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 Karla Sue Brockman by the Centers for Medicare & Medicaid Services?
The Karla Sue Brockman has been assigned the NPI (National Provider Identifier) 1114933736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Karla Sue Brockman's facilities are situated?
The facilities of Karla Sue Brockman are physically located at the following address: 11315 Lake Rd, Highland, IL, 622494023.
What is Karla Sue Brockman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Karla Sue Brockman's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114933736 to Karla Sue Brockman?
The Karla Sue Brockman received its 1114933736 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the information regarding Karla Sue Brockman most recently updated?
The details pertaining to the Karla Sue Brockman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.