Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036118417 | IL |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036-118417 | IL |
NPI | 1043394729 |
---|---|
Provider Name | Dr. Elizabeth Ramsey Unal |
First Address | Springfield, IL 62794-9640 |
Second Address | Springfield, IL 62702-5303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 07/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036118417 | (05) | IL |