TERRY DALE WEST MD NPI 1629034319

NPI Information

NPI: 1629034319
Provider Name: TERRY DALE WEST, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
302 RANDALL RD
SUITE 205
GENEVA, IL
ZIP 60134
Phone: (630) 232-4224
Get Directions

Terry Dale West, MD is a family medicine in Geneva, IL. The provider is 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. Terry Dale West, MD NPI is 1629034319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 RANDALL RD
SUITE 205
GENEVA, IL
ZIP 60134-204
Phone: (630) 232-4224
Fax: (630) 232-0150

The enumeration date for this NPI number is 4/22/2006 and was last updated on 12/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		36059820	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	780850	MEDICARE ID-TYPE UNSPECIFIED
2	4095282	OTHER		AETNA
3	036059820	MEDICAID	ILLINOIS
4	04500701	OTHER	ILLINOIS	BLUE CROSS
5	D16582	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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