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Mircea Tudor Iacob, MD
Vascular Neurology Physician in Winfield, Illinois
NPI 1588617856

Mircea Tudor Iacob is a Vascular Neurology Physician based in Winfield, IL and is specialized in Vascular Neurology. Mircea Tudor Iacob practices in Winfield, IL and has the professional credentials of MD. The NPI Number for Mircea Tudor Iacob is 1588617856 and holds a License No. 036-113093 (Illinois).

The current practice location address for Mircea Tudor Iacob is 25 N Winfield Rd, Winfield, IL and can be reached out via phone at 630-933-4056 and via fax at 630-933-4057.

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588617856
Provider Name
Mircea Tudor Iacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25 N Winfield Rd, Winfield, IL, 60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1635130 01 IL BCBS
P01090248 01 IL RAILROAD MEDICARE PTAN (INDIVIDUAL)
206147084 01 IL MEDICARE PTAN (INDIVIDUAL)
036113093 05 IL
CE8792 01 IL RAILROAD MEDICARE PTAN (GROUP)
institution
Provider Business Practice Location Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
person
Provider Business Mailing Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036113093 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
036113093 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Vascular Neurology
Taxonomy
2084V0102X
License No.
036-113093 (Illinois)
Definition
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.
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