Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036-144953 | IL |
N | 207X00000X | Orthopaedic Surgeon | LT4191 | NH |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036-144953 | IL |
NPI | 1154697878 |
---|---|
Provider Name | Dr. Gabriel Merlin |
First Address | Schaumburg, IL 60195-3203 |
Second Address | Schaumburg, IL 60195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 19/03/2020 |