M.D. Mircea Tudor Iacob, NPI 1588617856
Vascular Neurology Physician in Winfield, IL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1588617856 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Mircea Tudor Iacob |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 25 N Winfield Rd, Winfield, IL, US |
| Provider Mailing Address | 25 N Winfield Rd, Winfield, IL, US, 601901295 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Vascular Neurology Physician |
| Classification | |
| Group | |
| License No. | 036113093 |
| License State | IL |
| Description | Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 036-113093 | IL | No | |||
| 036113093 | IL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1635130 | IL | BCBS | 01 |
| P01090248 | IL | RAILROAD MEDICARE PTAN (INDIVIDUAL) | 01 |
| 206147084 | IL | MEDICARE PTAN (INDIVIDUAL) | 01 |
| 036113093 | IL | MEDICAID | 05 |
| CE8792 | IL | RAILROAD MEDICARE PTAN (GROUP) | 01 |
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