Susan Slocum Blair in Shorewood - Pediatrics
Susan Slocum Blair - NPI 1104862754
Susan Slocum Blair is a Pediatrics in Shorewood, Illinois. Susan Slocum Blair practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Slocum Blair is 1104862754. The last update date is 2007-07-08.
Susan Slocum Blair's current location address is 857 Center Ct, Shorewood, Illinois. You can contact this provider via phone number 8157301818. The mailing address for Susan Slocum Blair is 857 Center Ct, Shorewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Slocum Blair |
|---|---|
| Address | 857 Center Ct, Shorewood, Illinois |
| Phone Number | 8157301818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104862754 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 857 Center Ct |
|---|---|
| City | Shorewood |
| State | Illinois (IL) |
| Post Code | 604318520 |
| Phone Number | 8157301818 |
| Fax Number |
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 Susan Slocum Blair's unique identification number?
The Susan Slocum Blair has been assigned the NPI (National Provider Identifier) Number 1104862754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Susan Slocum Blair located?
The Susan Slocum Blair is located at 857 Center Ct, Shorewood, IL 604318520.
What is the Susan Slocum Blair's specialty and taxonomy code?
The Susan Slocum Blair's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104862754 to Susan Slocum Blair?
The Centers for Medicare & Medicaid Services assigned the 1104862754 to Susan Slocum Blair on 2006-06-21.
When was the Susan Slocum Blair's information last updated?
The Susan Slocum Blair's information was last updated on 2007-07-08.
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