Ronna Dekoven is a Pediatrics in Buffalo Grove, Illinois. Ronna Dekoven practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ronna Dekoven is 1942325733. The last update date is 2021-05-11.
Ronna Dekoven's current location address is 1165 Bristol Ln, Buffalo Grove, Illinois. You can contact this provider via phone number 8479779136. The mailing address for Ronna Dekoven is 1165 Bristol Ln, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronna Dekoven |
|---|---|
| Address | 1165 Bristol Ln, Buffalo Grove, Illinois |
| Phone Number | 8479779136 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR L |
NPI Number Detail
| NPI Number | 1942325733 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2021-05-11 |
Provider Mailing Address Detail
| Address | 1165 Bristol Ln |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 600891265 |
| Phone Number | 8479779136 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 056-000076 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1617235 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Ronna Dekoven by the Centers for Medicare & Medicaid Services (CMS)?
The Ronna Dekoven has been assigned the NPI (National Provider Identifier) 1942325733. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ronna Dekoven located?
The Ronna Dekoven is located at 1165 Bristol Ln, Buffalo Grove, IL 600891265.
What is Ronna Dekoven's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ronna Dekoven's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
When did the Ronna Dekoven receive its 1942325733?
The Ronna Dekoven was issued its 1942325733 on 2007-03-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Ronna Dekoven most recently updated?
The details pertaining to the Ronna Dekoven, including its address, specialty, and other relevant information, were last refreshed on 2021-05-11.