Judith A Wakeland in Monmouth - Physician Assistant
Judith A Wakeland - NPI 1831160779
Judith A Wakeland is a Physician Assistant in Monmouth, Illinois. Judith A Wakeland practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Judith A Wakeland is 1831160779. The last update date is 2014-07-29.
Judith A Wakeland's current location address is 1000 W Harlem Ave, Monmouth, Illinois. You can contact this provider via phone number 3097343141 and fax number 3097343029. The mailing address for Judith A Wakeland is 1000 W Harlem Ave, Monmouth, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Wakeland |
|---|---|
| Address | 1000 W Harlem Ave, Monmouth, Illinois |
| Phone Number | 3097343141 |
| Fax Number | 3097343029 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1831160779 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 1000 W Harlem Ave |
|---|---|
| City | Monmouth |
| State | Illinois (IL) |
| Post Code | 614621099 |
| Phone Number | 3097343141 |
| Fax Number | 3097343029 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001026 |
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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 identification code assigned to Judith A Wakeland by the Centers for Medicare & Medicaid Services?
The Judith A Wakeland has been issued the NPI (National Provider Identifier) 1831160779. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Judith A Wakeland's physical address?
The Judith A Wakeland is physically located at 1000 W Harlem Ave, in the city of Monmouth, IL, with the postal code 614621099.
What is Judith A Wakeland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judith A Wakeland's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Judith A Wakeland receive its 1831160779?
The Judith A Wakeland was issued its 1831160779 on 2006-01-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Judith A Wakeland most recently updated or revised?
The details related to Judith A Wakeland, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-29.