Wabash Em I Medical Services Pc in Elmhurst - Physician Assistant
Wabash Em I Medical Services Pc - NPI 1013110295
Wabash Em I Medical Services Pc is a Physician Assistant in Elmhurst, Illinois. Wabash Em I Medical Services Pc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wabash Em I Medical Services Pc is 1013110295. The last update date is 2019-08-12.
Wabash Em I Medical Services Pc's current location address is 533 W North Ave, Elmhurst, Illinois. You can contact this provider via phone number 8007321066 and fax number 6309414333. The mailing address for Wabash Em I Medical Services Pc is 533 W North Ave, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wabash Em I Medical Services Pc |
|---|---|
| Address | 533 W North Ave, Elmhurst, Illinois |
| Phone Number | 8007321066 |
| Fax Number | 6309414333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Kondas Kathy |
| Telephone Number | 9548382371 |
NPI Number Detail
| NPI Number | 1013110295 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2019-08-12 |
Provider Mailing Address Detail
| Address | 533 W North Ave |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 601262135 |
| Phone Number | 8007321066 |
| Fax Number | 6309414333 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 Wabash Em I Medical Services Pc?
The Wabash Em I Medical Services Pc has been issued the NPI (National Provider Identifier) 1013110295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Wabash Em I Medical Services Pc's physical address?
The Wabash Em I Medical Services Pc is physically located at 533 W North Ave, in the city of Elmhurst, IL, with the postal code 601262135.
What is Wabash Em I Medical Services Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wabash Em I Medical Services Pc's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013110295 to Wabash Em I Medical Services Pc?
The Wabash Em I Medical Services Pc received its 1013110295 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
When was the information pertaining to Wabash Em I Medical Services Pc most recently updated or revised?
The details related to Wabash Em I Medical Services Pc, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-12.
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