Jocelyn A. Shook in Chicago - Surgical

Jocelyn A. Shook - NPI 1710934062

Jocelyn A. Shook is a Surgical in Chicago, Illinois. Jocelyn A. Shook practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jocelyn A. Shook is 1710934062. The last update date is 2009-11-23.

Jocelyn A. Shook's current location address is 1611 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3122434244 and fax number 3129421517. The mailing address for Jocelyn A. Shook is 1611 W Harrison St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jocelyn A. Shook
Address 1611 W Harrison St, Chicago, Illinois
Phone Number 3122434244
Fax Number 3129421517
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1710934062
Provider Enumeration Date 2006-05-30
Last Updated Date 2009-11-23

Provider Mailing Address Detail

Address 1611 W Harrison St
City Chicago
State Illinois (IL)
Post Code 606123841
Phone Number 3122434244
Fax Number 3129421517

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 85002370
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209119 IL MEDICARE PTAN LOCALITY 16
209118 IL MEDICARE PTAN LOCALITY 15

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FAQs about Jocelyn A. Shook

What is the unique 10-digit identification code issued to Jocelyn A. Shook by the Centers for Medicare & Medicaid Services?

The Jocelyn A. Shook has been assigned the NPI (National Provider Identifier) 1710934062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jocelyn A. Shook's facilities are situated?

The facilities of Jocelyn A. Shook are physically located at the following address: 1611 W Harrison St, Chicago, IL, 606123841.

What is Jocelyn A. Shook's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jocelyn A. Shook is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date was the 1710934062 assigned to Jocelyn A. Shook?

The Jocelyn A. Shook was issued its 1710934062 on 2006-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jocelyn A. Shook last refreshed?

The information related to the Jocelyn A. Shook, including its address, specialty, and other relevant details, was last updated on 2009-11-23.

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