Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036-062856 | IL |
NPI | 1003864901 |
---|---|
Provider Name | David H. Trotter |
First Address | Hoffman Estates, IL 60169-5019 |
Second Address | Hoffman Estates, IL 60169-5019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 25/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036062856 | (05) | IL |
C46186 | (02) | IL |