Organization · NPI-2
Emergency Professionals Of Illinois Sc
Obstetrics & Gynecology · Berwyn, IL
NPI number1710377965
StatusActive
Last updated in NPPESJan 27, 2015
Details
- NPI
- 1710377965
- Entity type
- Organization (NPI-2)
- Legal business name
- Emergency Professionals Of Illinois Sc
- Organization subpart
- No
- Enumeration date
- Jan 27, 2015
- Last updated
- Jan 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 208M00000X | Hospitalist | – | – |
Practice location
3249 South Oak Park AveBerwyn, IL 60402-3429
Phone 919-655-1325
Mailing address
265 Brookview Centre WaySuite 400
Knoxville, TN 37919-4049
Phone 865-693-1000
Authorized official
Saif Nazir
President
8656931000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.