Mr. Scott A Paluska
Family Doctor - Sports Medicine
2110 Fox Dr
Champaign
, Illinois 61820-7553
Mr. Scott A Paluska
Family Doctor - Sports Medicine
2110 Fox Dr
Champaign
, Illinois 61820-7553
(217) 366-6106
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mr. Scott A Paluska
- 101 W University Ave
- Champaign, IL
- Zip : 61820-3909
- Fax : (217) 366-6106
- Phone : (217) 366-8107
Second Address
- Mr. Scott A Paluska
- 2110 Fox Dr
- Champaign, IL
- Zip : 61820-7553
- Fax : (217) 366-6106
- Phone : (217) 366-1237
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036110491 | IL |
National Provider Identifier
| NPI | 1093893430 |
|---|---|
| Provider Name | Mr. Scott A Paluska |
| First Address | Champaign, IL 61820-3909 |
| Second Address | Champaign, IL 61820-7553 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 29/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0361104911 | (05) | IL |
| 19243 | PERS CARE (01) | IL |
| H12936 | (02) |
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.