Elizabeth D. Deck is a Family in Bourbonnais, Illinois. Elizabeth D. Deck practices all healthcare services and medical treatments related to Family. The NPI Number for Elizabeth D. Deck is 1396715546. The last update date is 2019-10-21.
Elizabeth D. Deck's current location address is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. You can contact this provider via phone number 8159352784 and fax number 8159355687. The mailing address for Elizabeth D. Deck is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth D. Deck |
|---|---|
| Address | 400 Riverside Dr Ste 2100, Bourbonnais, Illinois |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1396715546 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2019-10-21 |
Provider Mailing Address Detail
| Address | 400 Riverside Dr Ste 2100 |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609145004 |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209005074 |
|
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 |
|---|---|---|---|
| DD8385 | IL | RAILROAD MEDICARE | |
| 4632073 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Elizabeth D. Deck by the Centers for Medicare & Medicaid Services?
The Elizabeth D. Deck has been issued the NPI (National Provider Identifier) 1396715546. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Elizabeth D. Deck is geographically located?
The Elizabeth D. Deck is physically situated at the following location: 400 Riverside Dr Ste 2100, Bourbonnais, IL, 609145004.
What is the area of specialization for Elizabeth D. Deck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elizabeth D. Deck is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When did Elizabeth D. Deck receive its 1396715546 assignment?
The Elizabeth D. Deck was assigned its 1396715546 on 2006-01-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Elizabeth D. Deck last refreshed?
The information related to the Elizabeth D. Deck, including its address, specialty, and other relevant details, was last updated on 2019-10-21.
NPI Number: 1427051903
Address: 58457 29 Palms Hwy, Yucca Valley, CA