Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 125.073380 | IL |
NPI | 1013412410 |
---|---|
Provider Name | Daryl Wayne Mckee |
First Address | Chicago, IL 60616-2332 |
Second Address | Chicago, IL 60616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2018 |
Last Update Date | 06/07/2018 |