Colleen Bird in Chicago - Physician Assistant

Colleen Bird - NPI 1356367601

Colleen Bird is a Physician Assistant in Chicago, Illinois. Colleen Bird practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Colleen Bird is 1356367601. The last update date is 2019-02-27.

Colleen Bird's current location address is 1860 Paysphere Cir, Chicago, Illinois. You can contact this provider via phone number 6304692000. The mailing address for Colleen Bird is 1860 Paysphere Cir, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen Bird
Address 1860 Paysphere Cir, Chicago, Illinois
Phone Number 6304692000
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1356367601
Provider Enumeration Date 2006-07-13
Last Updated Date 2019-02-27

Provider Mailing Address Detail

Address 1860 Paysphere Cir
City Chicago
State Illinois (IL)
Post Code 606743269
Phone Number 6304692000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85001730
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
206147 IL MEDICARE PTAN (GROUP)
206147103 IL MEDICARE PTAN (INDIVIDUAL)
P01209459 IL MEDICARE RAILROAD (PROVIDER PT
CA4748 IL MEDICARE RAILROAD (GROUPPTAN)

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FAQs about Colleen Bird

What is the unique 10-digit identification code assigned to Colleen Bird by the Centers for Medicare & Medicaid Services?

The Colleen Bird has been issued the NPI (National Provider Identifier) 1356367601, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Colleen Bird is physically located?

The Colleen Bird is physically situated at the following address: 1860 Paysphere Cir, Chicago, IL, 606743269.

What is Colleen Bird's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Colleen Bird is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did Colleen Bird receive its 1356367601 assignment from the Centers for Medicare & Medicaid Services?

The Colleen Bird was assigned its 1356367601 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Colleen Bird last refreshed?

The information related to the Colleen Bird, including its address, specialty, and other relevant details, was last updated on 2019-02-27.

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