Merrie Viscarra
Physical Medicine & Rehabilitation Doctor
1530 N Randall Rd Ste 210
Elgin
, Illinois 60123-7879
Merrie Viscarra
Physical Medicine & Rehabilitation Doctor
1530 N Randall Rd Ste 210
Elgin
, Illinois 60123-7879
(414) 423-4134
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Merrie Viscarra
- 6400 Industrial Loop
- Greendale, WI
- Zip : 53129-2452
- Fax : (414) 423-4134
- Phone : (414) 858-4106
Second Address
- Merrie Viscarra
- 1530 N Randall Rd Ste 210
- Elgin, IL
- Zip : 60123-7879
- Fax : (224) 535-8252
- Phone : (224) 760-7322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036113267 | IL |
National Provider Identifier
| NPI | 1003802281 |
|---|---|
| Provider Name | Merrie Viscarra |
| First Address | Greendale, WI 53129-2452 |
| Second Address | Elgin, IL 60123-7879 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2005 |
| Last Update Date | 09/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036113267 | (05) | IL |
| 1633786 | BCBS PROVIDER ID (01) | IL |
| P00255743 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.