Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 01080512A | IN |
N | 207P00000X | Emergency Physician | 125067420 | IL |
NPI | 1003297888 |
---|---|
Provider Name | Dr. Avram Estes |
First Address | Munster, IN 46321-2901 |
Second Address | Munster, IN 46321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2015 |
Last Update Date | 08/05/2019 |