David George Midlick in Woodridge - Cardiovascular-interventional Technology
David George Midlick - NPI 1477673275
David George Midlick is a Cardiovascular-interventional Technology in Woodridge, Illinois. David George Midlick practices all healthcare services and medical treatments related to Cardiovascular-interventional Technology. The NPI Number for David George Midlick is 1477673275. The last update date is 2007-07-08.
David George Midlick's current location address is 6686 Double Eagle Dr, Woodridge, Illinois. You can contact this provider via phone number 6306639811 and fax number 6306639018. The mailing address for David George Midlick is 6686 Double Eagle Dr, Woodridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David George Midlick |
|---|---|
| Address | 6686 Double Eagle Dr, Woodridge, Illinois |
| Phone Number | 6306639811 |
| Fax Number | 6306639018 |
| Sole Proprietor | Y |
| Credentials | C.C.T,BA |
NPI Number Detail
| NPI Number | 1477673275 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6686 Double Eagle Dr |
|---|---|
| City | Woodridge |
| State | Illinois (IL) |
| Post Code | 605175428 |
| Phone Number | 6306639811 |
| Fax Number | 6306639018 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular-interventional Technology |
|---|---|
| Taxonomy | 2471C1101X |
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Definition: A radiologic technologist who specializes in cardiovascular interventional technology. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 364429849001 | IL | -- | |
| BLUE CROSS | IL | 2230032 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David George Midlick by the Centers for Medicare & Medicaid Services?
The David George Midlick has been assigned the NPI (National Provider Identifier) 1477673275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of David George Midlick?
The David George Midlick is physically situated at 6686 Double Eagle Dr, in the city of Woodridge, state of IL, with the postal code 605175428.
What is David George Midlick's specialized field of practice, and what is the corresponding taxonomy classification code?
The David George Midlick's area of specialization is Cardiovascular-interventional Technology, and the corresponding taxonomy code that categorizes this field of practice is 2471C1101X.
On what date did the David George Midlick receive the assignment of its 1477673275 from the Centers for Medicare & Medicaid Services?
The David George Midlick was issued its 1477673275 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date were the details related to David George Midlick most recently updated or revised?
The information pertaining to David George Midlick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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