Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036094742 | IL |
N | 208600000X | Surgeon | 036094742 | IL |
Y | 2086X0206X | Surgical Oncologist | 036094742 | IL |
NPI | 1306847702 |
---|---|
Provider Name | Dr. George I. Salti |
First Address | Chicago, IL 60612-4325 |
Second Address | Naperville, IL 60540-6527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036094742 | (05) | IL |
1632898 | BLUE CROSS BLUE SHIELD (01) | IL |
H12689 | (02) |