Robert R Langford in Bannockburn - Physician Assistant
Robert R Langford - NPI 1386799054
Robert R Langford is a Physician Assistant in Bannockburn, Illinois. Robert R Langford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert R Langford is 1386799054. The last update date is 2021-09-01.
Robert R Langford's current location address is 2151 Waukegan Rd # 100, Bannockburn, Illinois. You can contact this provider via phone number 8475702868 and fax number 8477335005. The mailing address for Robert R Langford is 2151 Waukegan Rd # 100, Bannockburn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert R Langford |
|---|---|
| Address | 2151 Waukegan Rd # 100, Bannockburn, Illinois |
| Phone Number | 8475702868 |
| Fax Number | 8477335005 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1386799054 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2021-09-01 |
Provider Mailing Address Detail
| Address | 2151 Waukegan Rd # 100 |
|---|---|
| City | Bannockburn |
| State | Illinois (IL) |
| Post Code | 600151885 |
| Phone Number | 8475702868 |
| Fax Number | 8477335005 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85008529 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970002274 | GA | RR MEDICARE | |
| 051593530A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert R Langford by the Centers for Medicare & Medicaid Services?
The Robert R Langford has been assigned the NPI (National Provider Identifier) 1386799054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Robert R Langford?
The Robert R Langford is physically situated at 2151 Waukegan Rd # 100, in the city of Bannockburn, state of IL, with the postal code 600151885.
What is the Robert R Langford's specialty and taxonomy code?
The Robert R Langford's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Robert R Langford receive its 1386799054 assignment from the Centers for Medicare & Medicaid Services?
The Robert R Langford was assigned its 1386799054 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Robert R Langford most recently updated?
The details pertaining to the Robert R Langford, including its address, specialty, and other relevant information, were last refreshed on 2021-09-01.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH