Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036.117492 | IL |
N | 208600000X | Surgeon | 036.117492 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 036117492 | IL |
NPI | 1316197858 |
---|---|
Provider Name | Dr. Iris Angela Seitz |
First Address | Naperville, IL 60540-6520 |
Second Address | Naperville, IL 60540-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2008 |
Last Update Date | 19/03/2021 |