Samuel Mauricio Cordova in Lisle - Physician Assistant
Samuel Mauricio Cordova - NPI 1326137225
Samuel Mauricio Cordova is a Physician Assistant in Lisle, Illinois. Samuel Mauricio Cordova practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Samuel Mauricio Cordova is 1326137225. The last update date is 2012-12-13.
Samuel Mauricio Cordova's current location address is 4300 Commerce Ct, Lisle, Illinois. You can contact this provider via phone number 6309681881 and fax number 6309681719. The mailing address for Samuel Mauricio Cordova is 4300 Commerce Ct, Lisle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Mauricio Cordova |
|---|---|
| Address | 4300 Commerce Ct, Lisle, Illinois |
| Phone Number | 6309681881 |
| Fax Number | 6309681719 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1326137225 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | 4300 Commerce Ct |
|---|---|
| City | Lisle |
| State | Illinois (IL) |
| Post Code | 605323698 |
| Phone Number | 6309681881 |
| Fax Number | 6309681719 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002213 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85002213 | IL | -- | |
| 970023229 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Samuel Mauricio Cordova?
The Samuel Mauricio Cordova has been issued the NPI (National Provider Identifier) 1326137225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Samuel Mauricio Cordova?
The Samuel Mauricio Cordova is situated at 4300 Commerce Ct, in the city of Lisle, state of IL, with the zip code 605323698.
What is Samuel Mauricio Cordova's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel Mauricio Cordova is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
As of what date were the details pertaining to Samuel Mauricio Cordova last refreshed?
The information related to the Samuel Mauricio Cordova, including its address, specialty, and other relevant details, was last updated on 2012-12-13.
When was the information regarding Samuel Mauricio Cordova, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel Mauricio Cordova, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-13.