Matthew D Boebel in Forest Park - Geriatrics
Matthew D Boebel - NPI 1861524092
Matthew D Boebel is a Geriatrics in Forest Park, Illinois. Matthew D Boebel practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Matthew D Boebel is 1861524092. The last update date is 2007-07-08.
Matthew D Boebel's current location address is 923 Ferdinand Ave, Forest Park, Illinois. You can contact this provider via phone number 7083665193. The mailing address for Matthew D Boebel is 923 Ferdinand Ave, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew D Boebel |
|---|---|
| Address | 923 Ferdinand Ave, Forest Park, Illinois |
| Phone Number | 7083665193 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1861524092 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 923 Ferdinand Ave |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601302201 |
| Phone Number | 7083665193 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 70010537 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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What is the unique 10-digit identifier code issued to Matthew D Boebel by the Centers for Medicare & Medicaid Services?
The Matthew D Boebel has been assigned the NPI (National Provider Identifier) 1861524092 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Matthew D Boebel?
The Matthew D Boebel is physically situated at 923 Ferdinand Ave, in the city of Forest Park, state of IL, with the postal code 601302201.
What is Matthew D Boebel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew D Boebel's specialized field of practice is Geriatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251G0304X.
On what date did Matthew D Boebel receive its 1861524092 assignment from the Centers for Medicare & Medicaid Services?
The Matthew D Boebel was assigned its 1861524092 on 2007-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Matthew D Boebel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew D Boebel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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