Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036071184 | IL |
NPI | 1134225865 |
---|---|
Provider Name | Dr. Henry A. Finn |
First Address | Chicago, IL 60640 |
Second Address | Chicago, IL 60640-5759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 29/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C391174 | (02) | IL |