Summer L Park in Champaign - Family

Summer L Park - NPI 1114196904

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
Address 1801 Windsor Rd, Champaign, Illinois
Phone Number 2173666104
Fax Number 2173666106
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1114196904
Provider Enumeration Date 2008-02-26
Last Updated Date 2014-11-05

Provider Mailing Address Detail

Address 1801 Windsor Rd
City Champaign
State Illinois (IL)
Post Code 618226217
Phone Number 2173666104
Fax Number 2173666106

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 209006933
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Summer L Park

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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