Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | IL |
NPI | 1093851875 |
---|---|
Provider Name | Dr. Anil K. Bouri JR. |
First Address | Elmhurst, IL 60126-5805 |
Second Address | Elmhurst, IL 60126-5805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |