Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036-086761 | IL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 294351 | NY |
NPI | 1013996891 |
---|---|
Provider Name | Dr. Anthony A. Romeo |
First Address | Chicago, IL 60674-0018 |
Second Address | New York, NY 10003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 07/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E64849 | (02) | IL |