Summer L Park is a Family in Champaign, Illinois. Summer L Park practices all healthcare services and medical treatments related to Family. The NPI Number for Summer L Park is 1114196904. The last update date is 2014-11-05.
Summer L Park's current location address is 1801 Windsor Rd, Champaign, Illinois. You can contact this provider via phone number 2173666104 and fax number 2173666106. The mailing address for Summer L Park is 1801 Windsor Rd, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Summer L Park |
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Address | 1801 Windsor Rd, Champaign, Illinois |
Phone Number | 2173666104 |
Fax Number | 2173666106 |
Sole Proprietor | N |
Credentials | APN |
NPI Number Detail
NPI Number | 1114196904 |
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Provider Enumeration Date | 2008-02-26 |
Last Updated Date | 2014-11-05 |
Provider Mailing Address Detail
Address | 1801 Windsor Rd |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618226217 |
Phone Number | 2173666104 |
Fax Number | 2173666106 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 209006933 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code issued to Summer L Park by the Centers for Medicare & Medicaid Services?
The Summer L Park has been assigned the NPI (National Provider Identifier) 1114196904 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Summer L Park is located?
The Summer L Park is situated at the following address: 1801 Windsor Rd, Champaign, IL, 618226217.
What is Summer L Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Summer L Park is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Summer L Park receive the assignment of its 1114196904 from the Centers for Medicare & Medicaid Services?
The Summer L Park was issued its 1114196904 by the Centers for Medicare & Medicaid Services on 2008-02-26.
When was the information regarding Summer L Park most recently updated?
The details pertaining to the Summer L Park, including its address, specialty, and other relevant information, were last refreshed on 2014-11-05.
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