Julie Ann Wattenberg in Plainfield - Pediatrics
Julie Ann Wattenberg - NPI 1063438703
Julie Ann Wattenberg is a Pediatrics in Plainfield, Illinois. Julie Ann Wattenberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Julie Ann Wattenberg is 1063438703. The last update date is 2013-04-25.
Julie Ann Wattenberg's current location address is 13909 Briar Ln, Plainfield, Illinois. You can contact this provider via phone number 6903193872 and fax number 8157336573. The mailing address for Julie Ann Wattenberg is 13909 Briar Ln, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Julie Ann Wattenberg |
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Address | 13909 Briar Ln, Plainfield, Illinois |
Phone Number | 6903193872 |
Fax Number | 8157336573 |
Sole Proprietor | Y |
Credentials | M.P.T., D. |
NPI Number Detail
NPI Number | 1063438703 |
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Provider Enumeration Date | 2006-07-14 |
Last Updated Date | 2013-04-25 |
Provider Mailing Address Detail
Address | 13909 Briar Ln |
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City | Plainfield |
State | Illinois (IL) |
Post Code | 605447563 |
Phone Number | 6903193872 |
Fax Number | 8157336573 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 070-012852 |
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 |
---|---|---|---|
2232772 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Julie Ann Wattenberg by the Centers for Medicare & Medicaid Services?
The Julie Ann Wattenberg has been issued the NPI (National Provider Identifier) 1063438703, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Julie Ann Wattenberg?
The Julie Ann Wattenberg is physically situated at 13909 Briar Ln, in the city of Plainfield, state of IL, with the postal code 605447563.
What is the area of specialization for Julie Ann Wattenberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Julie Ann Wattenberg is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date was the 1063438703 assigned to Julie Ann Wattenberg?
The Julie Ann Wattenberg was issued its 1063438703 on 2006-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Julie Ann Wattenberg last refreshed?
The information related to the Julie Ann Wattenberg, including its address, specialty, and other relevant details, was last updated on 2013-04-25.
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