Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36079213 | IL |
NPI | 1205887627 |
---|---|
Provider Name | Dr. Daniel Gauthier |
First Address | Hinsdale, IL 60521-3829 |
Second Address | Hinsdale, IL 60521-3829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 24/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036079213 | (05) | IL |