Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2012-00802 | NC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036133397 | IL |
NPI | 1386847283 |
---|---|
Provider Name | Dr. David N. Garras |
First Address | Orland Park, IL 60467-5541 |
Second Address | Orland Park, IL 60467-5541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036133397 1 | (05) | IL |
1633878 | BCBS IL (01) | IL |
5919970 | (05) | NC |
NC1558 | (05) | SC |