Vivian A Illera is a Wichita, Kansas based female rheumatologist who is specialized in Rheumatology. Active license number of Vivian A Illera for Rheumatology is 04-25436 in Kansas. Vivian A Illera treat joint disease similar to orthopedists but do not perform surgeries. She diagnose and treat diseases of joints, muscle, bones and tendons which includes arthritis, back pain, muscle strains, common athletic injuries and 'collagen' diseases.
Complete Profile:
Vivian A Illera speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Rheumatology
Credentials:
MD
Gender:
Female
Practice Address:
1921 N Webb Rd, Wichita, Kansas, 67206-3405
Phone:
316-612-4815
Fax:
316-681-0244
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790741148
NPI Enumeration Date:
25 Apr, 2006
NPI Last Update On:
11 Jul, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian A Illera are as mentioned below.
License Number
Specialization
State
Status
04-25436
Rheumatologist
Kansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Vivian A Illera such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100170460B
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1921 N Webb Rd, Wichita, Kansas
Zip:
67206-3405
Phone Number:
316-612-4815
Fax Number:
316-681-0244
Patients can reach Vivian A Illera at 1921 N Webb Rd, Wichita, Kansas or can call to book an appointment on 316-612-4815. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.