Family Medicine in MONTICELLO, IL
Last Updated on : Jun 21,2023
GLEN E DUST is a Family Medicine provider in MONTICELLO, United States. His medical specialization is Family Medicine .
1477555738 is NPI number of GLEN E DUST.
GLEN E DUST's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 036068658. This taxonomy code refers to Family Medicine.
GLEN E DUST has more than 17 years of experience.
GLEN E DUST current practice location address is 1000 MEDICAL CENTER DR, MONTICELLO, IL. GLEN E DUST can be reached out via phone at 217-762-6241 and via fax at 217-762-1702 .
You can also correspond with GLEN E DUST through mail at mailing address 1000 MEDICAL CENTER DR, MONTICELLO, IL, United States. Mailing address contact number is 217-762-6241.
The enumeration date of GLEN E DUST is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.Basic NPI information of GLEN E DUST (NPI 1477555738) is provided below.
Name | GLEN E DUST |
---|---|
National Provider Id (NPI) | 1477555738 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 1000 MEDICAL CENTER DR,
MONTICELLO, IL, United States |
Practice Telephone | 217-762-6241 |
Practice Fax Number | 217-762-1702 |
Mailing Address | 1000 MEDICAL CENTER DR ,
MONTICELLO, IL, United States |
Mailing Telephone | 217-762-6241 |
Mailing Fax Number | 217-762-1702 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 21-Jun-2023 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036068658 | IL |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
0007000023 | Other (non-Medicare) (01) | IL | BCBS of Illinois |
0360686581 | MEDICAID (05) | IL | |
080027217 | Other (non-Medicare) (01) | IL | Palmetto |
182358 | Other (non-Medicare) (01) | IL | Healthlink |
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---|---|---|---|---|
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The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1477555738 is the NPI number of GLEN E DUST.
What is the specialty for GLEN E DUST?The Specialty of GLEN E DUST is Family Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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