Joanna J Childers in Chicago - Physician Assistant
Joanna J Childers - NPI 1619926649
Joanna J Childers is a Physician Assistant in Chicago, Illinois. Joanna J Childers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joanna J Childers is 1619926649. The last update date is 2011-11-02.
Joanna J Childers's current location address is 2537 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6169751845 and fax number 6162850846. The mailing address for Joanna J Childers is 2537 Momentum Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joanna J Childers |
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Address | 2537 Momentum Pl, Chicago, Illinois |
Phone Number | 6169751845 |
Fax Number | 6162850846 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1619926649 |
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Provider Enumeration Date | 2006-05-08 |
Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
Address | 2537 Momentum Pl |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606895325 |
Phone Number | 6169751845 |
Fax Number | 6162850846 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601004738 |
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 |
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What is the unique provider identifier assigned to Joanna J Childers?
The Joanna J Childers has been issued the NPI (National Provider Identifier) 1619926649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Joanna J Childers?
The Joanna J Childers is situated at 2537 Momentum Pl, in the city of Chicago, state of IL, with the zip code 606895325.
What is Joanna J Childers's area of expertise and its corresponding taxonomy classification?
The Joanna J Childers's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Joanna J Childers receive its 1619926649?
The Joanna J Childers was issued its 1619926649 on 2006-05-08, which is the date when the organization was assigned this unique identifier.
When was the Joanna J Childers's information last updated?
The Joanna J Childers's information was last updated on 2011-11-02.
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