Mark Lewis Illeman in San Francisco - Family
Mark Lewis Illeman - NPI 1548388861
Mark Lewis Illeman is a Family in San Francisco, California. Mark Lewis Illeman practices all healthcare services and medical treatments related to Family. The NPI Number for Mark Lewis Illeman is 1548388861. The last update date is 2015-06-19.
Mark Lewis Illeman's current location address is 2300 California St, San Francisco, California. You can contact this provider via phone number 4152021550 and fax number 4157768233. The mailing address for Mark Lewis Illeman is 2300 California St, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lewis Illeman |
|---|---|
| Address | 2300 California St, San Francisco, California |
| Phone Number | 4152021550 |
| Fax Number | 4157768233 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1548388861 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-06-19 |
Provider Mailing Address Detail
| Address | 2300 California St |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941152753 |
| Phone Number | 4152021550 |
| Fax Number | 4157768233 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2005 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2005 | CA | NPF |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Lewis Illeman by the Centers for Medicare & Medicaid Services?
The Mark Lewis Illeman has been issued the NPI (National Provider Identifier) 1548388861, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Lewis Illeman's facilities are geographically located?
The facilities of Mark Lewis Illeman are physically situated at the following location: 2300 California St, San Francisco, CA, 941152753.
What is Mark Lewis Illeman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Lewis Illeman's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548388861 to Mark Lewis Illeman?
The Mark Lewis Illeman received its 1548388861 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Mark Lewis Illeman most recently updated or revised?
The information pertaining to Mark Lewis Illeman, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-19.
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