Joanna J Childers is a Medical in Chicago, Illinois. Joanna J Childers practices all healthcare services and medical treatments related to Medical. 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 | Medical |
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Taxonomy | 363Am0700X |
Licence No | 5601004738 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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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 Medical, and it falls under the taxonomy code 363Am0700X, 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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