Dena L Mccormick in Herrin - Medical

Dena L Mccormick - NPI 1225066608

Dena L Mccormick is a Medical in Herrin, Illinois. Dena L Mccormick practices all healthcare services and medical treatments related to Medical. The NPI Number for Dena L Mccormick is 1225066608. The last update date is 2022-07-21.

Dena L Mccormick's current location address is 201 S 14th St, Herrin, Illinois. You can contact this provider via phone number 6189422171 and fax number 6189886186. The mailing address for Dena L Mccormick is 201 S 14th St, Herrin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dena L Mccormick
Address 201 S 14th St, Herrin, Illinois
Phone Number 6189422171
Fax Number 6189886186
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1225066608
Provider Enumeration Date 2006-06-28
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 201 S 14th St
City Herrin
State Illinois (IL)
Post Code 6294836310
Phone Number 6189422171
Fax Number 6189886186

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 85002236
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7210895 IL AETNA
3932056 IL BCBS
36062597 IL --
894228 IL HEALTHLINK
10019630 IL BLUE CROSS
139759 IL HAMP

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FAQs about Dena L Mccormick

What is the unique 10-digit identification code issued to Dena L Mccormick by the Centers for Medicare & Medicaid Services?

The Dena L Mccormick has been assigned the NPI (National Provider Identifier) 1225066608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dena L Mccormick's facilities are geographically located?

The facilities of Dena L Mccormick are physically situated at the following location: 201 S 14Th St, Herrin, IL, 6294836310.

What is the area of specialization for Dena L Mccormick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dena L Mccormick is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

When was the Dena L Mccormick's 1225066608 issued?

The Dena L Mccormick's 1225066608 was issued on 2006-06-28.

As of what date was the information pertaining to Dena L Mccormick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dena L Mccormick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.

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